MRS. DEBORAH JEAN WAGNER CRNP NPI 1336543974

NPI Information

NPI: 1336543974
Provider Name: MRS. DEBORAH JEAN WAGNER, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
8010 MEMORIAL PKWY SW
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 489-3192
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MRS. Deborah Jean Wagner, CRNP is a gerontology nurse practitioner in Huntsville, AL. MRS. Deborah Jean Wagner, CRNP NPI is 1336543974. 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:

8010 MEMORIAL PKWY SW
HUNTSVILLE, AL
ZIP 35802-039
Phone: (256) 489-3192
Fax: (256) 489-3196

The enumeration date for this NPI number is 10/10/2014 and was last updated on 12/21/2018.

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	363LG0600X	Nurse Practitioner	Gerontology	1-039213	ALABAMA	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: 4/28/2024

NPI Synchronization or Removal

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