NPI 1154143790

Holliston Wagner, BSMS

Practitioner Health Educator Tampa, FL

Practice location

Address: 4704b W Montgomery Ave, Tampa, FL 33616-1042
Phone: (813) 307-8071
Mailing address: 8703 Tahiti Ln, Tampa, FL 33615-4427

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1154143790
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2024
Record last updated: 25 Oct 2024

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.