TRACIE DENIE JOHNSON-WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023898

License Status

ACTIVE

Business

First Name

TRACIE

Middle

DENIE

Last Name

JOHNSON-WAGNER

Business Name

TRACIE DENIE JOHNSON-WAGNER

Original Issue Date

08/26/2021

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

MARICOPA

State

Zip

85139

Ever Disciplined

LastModifiedDate

03/02/2026