MRS. BONNY MICHELLE WAGNER OYR / CHT NPI 1114029204

NPI Information

NPI: 1114029204
Provider Name: MRS. BONNY MICHELLE WAGNER, OYR / CHT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
663 SUNSET LN
CULPEPER, VA
ZIP 22701
Phone: (540) 825-5368
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MRS. Bonny Michelle Wagner, OYR / CHT is a hand occupational therapist in Culpeper, VA. MRS. Bonny Michelle Wagner, OYR / CHT NPI is 1114029204. 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:

663 SUNSET LN
CULPEPER, VA
ZIP 22701-919
Phone: (540) 825-5368
Fax: (540) 829-0937

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.

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	225XH1200X	Occupational Therapist	Hand	0119000341	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7727302	OTHER	VIRGINIA	AETNA
2	294919	OTHER	VIRGINIA	MAMSI
3	334575	OTHER	VIRGINIA	ANTHEM BCBS

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: 5/5/2024

NPI Synchronization or Removal

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