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General NPI Number Information
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NPI Number | 1497632368
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Entity Type | Individual
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Provider Name | BRITTANY MICHELLE WAGNER APRN
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 17525 MEDICAL CENTER PKWY
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1824
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Country | US
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Telephone | 816-842-6717
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Fax | 816-842-2574
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Provider Business Mailing Address
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Address Line | 17525 MEDICAL CENTER PKWY
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1824
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Country | US
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Telephone | 816-994-3150
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Fax | 816-359-3044
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025032073
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License Number State | MO
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