MR. ZACHARY PATRICK WAGNER FNP-C NPI 1801388863

NPI Information

MR. Zachary Patrick Wagner, FNP-C is a family nurse practitioner in Peoria, AZ with 6 years of experience. MR. Zachary Patrick Wagner, FNP-C NPI is 1801388863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8877 W UNION HILLS DR STE 240
PEORIA, AZ
ZIP 85382
Phone: (623) 217-2500

The NPI 1801388863 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 6/5/2018 and was last updated on 11/29/2018.

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:

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