HEATHER WAGNER NPI 1063834786

NPI Information

NPI: 1063834786
Provider Name: HEATHER WAGNER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
106 W HIGHWAY 152
MUSTANG, OK
ZIP 73064
Phone: (405) 376-3340
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Heather Wagner is a family nurse practitioner in Mustang, OK. Heather Wagner NPI is 1063834786. 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:

106 W HIGHWAY 152
MUSTANG, OK
ZIP 73064
Phone: (405) 376-3340

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.

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	363LF0000X	Nurse Practitioner	Family	R 0088946	OKLAHOMA	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: 5/5/2024

NPI Synchronization or Removal

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