BARBARA JOYCE WAGNON NP-C NPI 1104397702

NPI Information

Barbara Joyce Wagnon, NP-C is a family nurse practitioner in Roanoke, VA with 6 years of experience. Barbara Joyce Wagnon, NP-C NPI is 1104397702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 302
ROANOKE, VA
ZIP 24014-465
Phone: (540) 981-7653

The NPI 1104397702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2018 and was last updated on 9/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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