MRS. Carolyn Wagner, NP is a family nurse practitioner in Decatur, IL. MRS. Carolyn Wagner, NP NPI is 1366419087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL
ZIP 62521-832
Phone: (217) 429-9700
Fax: (217) 429-9702
The enumeration date for this NPI number is 3/1/2006 and was last updated on 3/10/2011.