Individual ProviderNatalie WagstaffLicensed Practical NurseNursing Service ProvidersPractice Address934 S Main St, Layton, UT 84041-7135(801) 773-7060PECOS EnrollmentBased on the most recent information from CMS, provider Natalie Wagstaff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1275076986Provider TypeIndividualFull NameWagstaff, NatalieGenderFemaleSole ProprietorNoEnumeration Date11/29/2016Last Updated11/29/2016Contact InformationPractice LocationPractice Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060FaxUnlisted FaxMailing LocationMailing Address934 S Main St, Layton, UT 84041-7135Phone(801) 773-7060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense5489634-3101Utah