Female

Ms. Joyce L. Wagner PA-C

Medical Physician Assistant in Vero Beach, FL(View on Map)

Full Name

Ms. Joyce Lynn Wagner PA-C

NPI Number

1598720229

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/18/2006

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9102320

Contact
Information

Purpose

Mailing
Location

Address

1545 9TH ST SW
1553 US HIGHWAY 1

City

Vero Beach
Vero Beach

State

FL
FL

Postal Code

32962-4312
32960

Country

US
US

Telephone Number

(772) 257-8224
(772) 257-8224

Identifiers

Identifier

PA9102320

Identifier State

FL

Identifier Issuer

STATE LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/25/2018

Provider Address

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