IndividualActive
Bonnie Wagner
NPI 1326214362 · Driver · Fairfield, IL
Provider details
- NPI number
- 1326214362
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
112 W Delaware St
Apt.212
Fairfield, IL 62837-2540
Phone: (618) 842-4151
Approximate (ZIP-level) locationGet directions
Mailing address
112 W Delaware St
Fairfield, IL 62837-2540
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.