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

MRS. LANE GRAY WAGNON, N.P.

Active

MRS. LANE GRAY WAGNON, N.P. is a Adult Health Nurse Practitioner healthcare provider located in CONWAY, Arkansas. NPI 1871756395 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · CONWAY, AR

Registration Details

NPI Number
1871756395
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2008 (17.970429341351 yrs)
Last Updated
Aug 13, 2020
License
A02902 (AR)

Practice Information

Address
525 WESTERN AVE
SUITE 202
CONWAY, AR, 720344967
Browse AR providers · Browse ZIP 72034
Phone
5015135337
Fax
5015135338
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in CONWAY, AR

Name Credential NPI
MRS. STACY HARRIS A.P.N. 1134356942
CASEY LEIGH BROCK APN 1649545302
MRS. HOLLY ROGERS GAINES ANP 1376979799
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.