NPI 1023680451
Courtney Wagner
Practice location
- Address
- 1891 Station Pkwy NW, Andover, MN 55304-3341
- Phone
- (763) 755-4275
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1023680451
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jul 2021
- Record last updated
- 14 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.