GLAUCIA MARLI WAGNER ARNP NPI 1083954440

NPI Information

NPI: 1083954440
Provider Name: GLAUCIA MARLI WAGNER, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PHC OF NEVADA INC

PECOS Registration: Yes

Address:
1201 1ST ST S
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 293-1121
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Glaucia Marli Wagner, ARNP is a psychiatric/mental health nurse practitioner in Winter Haven, FL with 13 years of experience. Glaucia Marli Wagner, ARNP NPI is 1083954440. 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:

1201 1ST ST S
WINTER HAVEN, FL
ZIP 33880-904
Phone: (863) 293-1121
Fax: (863) 294-7064

The NPI 1083954440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP 3323462	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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