PATRICIA WAGNER DNP NP-BC NPI 1770031759

NPI Information

NPI: 1770031759
Provider Name: PATRICIA WAGNER, DNP, NP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1200 E WOODHURST DR
Q200
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 881-5639
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Patricia Wagner, DNP, NP-BC is a gerontology nurse practitioner in Springfield, MO. Patricia Wagner, DNP, NP-BC NPI is 1770031759. 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:

1200 E WOODHURST DR
Q200
SPRINGFIELD, MO
ZIP 65804-261
Phone: (417) 881-5639

The enumeration date for this NPI number is 9/19/2016 and was last updated on 9/19/2016.

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	363LG0600X	Nurse Practitioner	Gerontology	120089	MISSOURI	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: 11/14/2023

NPI Synchronization or Removal

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