GRETCHEN WAGNER NPI 1881151157

NPI Information

NPI: 1881151157
Provider Name: GRETCHEN WAGNER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
WAUWATOSA, WI
ZIP 53226
Phone: (414) 805-3000
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Gretchen Wagner is a family nurse practitioner in Wauwatosa, WI with 7 years of experience. Gretchen Wagner NPI is 1881151157. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year:2017

The provider's business location address is:

9200 W WISCONSIN AVE
WAUWATOSA, WI
ZIP 53226-522
Phone: (414) 805-3000

The NPI 1881151157 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 2/22/2019 and was last updated on 9/2/2019.

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	9090-33	WISCONSIN	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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