| Kathleen Mary Wagner, ARNP | |
|
1223 Gateway Drive, Melbourne, FL 32901-2607 | |
| (321) 725-4500 | |
| (321) 722-1237 |
| Full Name | Kathleen Mary Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
| Location | 1223 Gateway Drive, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740397041 | NPI | - | NPPES |
| 9649823 | Medicaid | WA | |
| 0212946 | Other | WA | LABOR & INDUSTRIES |
| 807564400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30000510 (Washington) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP9333175 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mary Wagner, ARNP 1223 Gateway Drive, Melbourne, FL 32901-2607 Ph: (321) 725-4500 | Kathleen Mary Wagner, ARNP 1223 Gateway Drive, Melbourne, FL 32901-2607 Ph: (321) 725-4500 |
Mrs. Dawn P Hamel, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2290 W Eau Gallie Blvd, Melbourne, FL 32935 Phone: 321-435-1505 Fax: 321-426-7446 | |
Mrs. Stephanie Louise Battaglini, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St Ste 102, Melbourne, FL 32901 Phone: 321-434-3452 Fax: 321-434-3456 | |
Tiffani Davidson, APRN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 | |
William Brandon Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 | |
Stacyann Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2626 Florencia Pl, Melbourne, FL 32940 Phone: 305-338-5141 | |
Cynthia Parsons Hall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-586-5444 Fax: 321-586-5444 | |
Michele Anne Mccarthy-lavish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0752 Fax: 321-952-2330 |