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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA CARROLL WAGONER, RN, COHN-S

Active Sole Proprietor

LISA CARROLL WAGONER, RN, COHN-S is a Advance Practice Midwife healthcare provider located in HIGHLANDS RANCH, Colorado. NPI 1720438963 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · HIGHLANDS RANCH, CO

Registration Details

NPI Number
1720438963
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2016 (10.198667948384 yrs)
Last Updated
Jun 19, 2016
License
RN.1632465 (CO)
Sole Proprietor
Yes

Practice Information

Address
5444 FULLERTON CIR
HIGHLANDS RANCH, CO, 801306642
Browse CO providers · Browse ZIP 80130
Phone
9104098509
Primary Specialty
Advance Practice Midwife
163WA2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.