MRS. SUSAN RAE WAGNER NP-C NPI 1346695301

NPI Information

NPI: 1346695301
Provider Name: MRS. SUSAN RAE WAGNER, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
142 HIGHLAND DR
LEBANON, VA
ZIP 24266
Phone: (276) 762-7600
Get Directions

MRS. Susan Rae Wagner, NP-C is a family nurse practitioner in Lebanon, VA. MRS. Susan Rae Wagner, NP-C NPI is 1346695301. 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:

142 HIGHLAND DR
LEBANON, VA
ZIP 24266-636
Phone: (276) 762-7600

The enumeration date for this NPI number is 4/27/2016 and was last updated on 4/27/2016.

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	363LF0000X	Nurse Practitioner	Family	0024173497	VIRGINIA	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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