Dr TRACIE DENIE JOHNSON-WAGNER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.
TERROS, INC.
3864 N 27TH AVE
PHOENIX
AZ
850174703
Tel: 6026856000
| Npi | 1578064382 |
| Pac Id | 2769745280 |
| Professional Enrollment Id | I20180416002526 |
| Last Name | JOHNSON-WAGNER |
| First Name | TRACIE |
| Middle Name | DENIE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | TERROS, INC. |
| Group Practice Pac Id | 8224077045 |
| Number Of Group Practice Members | 43 |
| Line 1 Street Address | 3864 N 27TH AVE |
| Line 2 Street Address | |
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| City | PHOENIX |
| State | AZ |
| Zip Code | 850174703 |
| Phone Number | 6026856000 |
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| Professional Accepts Medicare Assignment | Y |
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