| Lisa Marie Wagner, APN NP-C | |
|
249 Kodiak Dr Unit 201, Basalt, CO 81621-8140 | |
| (970) 618-8796 | |
| (970) 645-3168 |
| Full Name | Lisa Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 249 Kodiak Dr Unit 201, Basalt, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346754249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0993561-NP (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Wagner, APN NP-C 249 Kodiak Dr Unit 201, Basalt, CO 81621-8140 Ph: (970) 618-8796 | Lisa Marie Wagner, APN NP-C 249 Kodiak Dr Unit 201, Basalt, CO 81621-8140 Ph: (970) 618-8796 |
Ms. Kathleen Rye, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 Cody Ln, Basalt, CO 81621 Phone: 970-927-6650 Fax: 970-927-6659 | |
Lilia Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1450 E Valley Rd Unit 102, Basalt, CO 81621 Phone: 970-927-4666 | |
Bryn Lou Brendamour, MSN, APN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Emma Rd, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Amy Halstead, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Kodiak Dr Unit 202, Basalt, CO 81621 Phone: 970-279-1472 | |
Abigail Adams Nims Lavy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Elk Run Dr Ste 101, Basalt, CO 81621 Phone: 970-927-8181 |