| Mrs Carolyn Wagner, NP | |
|
1770 E Lake Shore Dr, Suite 207, Decatur, IL 62521-3832 | |
| (217) 429-9700 | |
| (217) 429-9702 |
| Full Name | Mrs Carolyn Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1770 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366419087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209-001389 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolyn Wagner, NP 1770 E Lake Shore Dr, Suite 207, Decatur, IL 62521-3832 Ph: (217) 429-9700 | Mrs Carolyn Wagner, NP 1770 E Lake Shore Dr, Suite 207, Decatur, IL 62521-3832 Ph: (217) 429-9700 |
Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126 | |
Nicole Marie Lord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, #309, Decatur, IL 62521 Phone: 217-422-9740 | |
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 | |
Kristina Kay Bradford, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |