person
Erik W Wagner, FNP
Family Nurse Practitioner in Mesa, Arizona
NPI 1033129150

Erik W Wagner is a Family Nurse Practitioner based in Mesa, AZ and is specialized in Family. Erik W Wagner practices in Mesa, AZ and has the professional credentials of FNP. The NPI Number for Erik W Wagner is 1033129150 and holds a License No. TAP4826 (Arizona).

The current practice location address for Erik W Wagner is 4838 E. Baseline Rd., Mesa, AZ and can be reached out via phone at 480-969-4040 and via fax at 480-830-1042.

Location: 4838 E. Baseline Rd., Mesa, AZ, 85206-4676
person
Provider Profile Details
NPI Number
1033129150
Provider Name
Erik W Wagner
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4838 E. Baseline Rd., Mesa, AZ, 85206-4676
Phone Number
480-969-4040
Fax Number
480-830-1042
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z233314 01 AZ MEDICARE PTAN
825839 05 AZ
institution
Provider Business Practice Location Address Details
Address
4838 E. Baseline Rd.
City
State
Zip
85206-4677
Phone Number
480-969-4040
Fax Number
480-830-1042
person
Provider Business Mailing Address Details
Address
4838 E. Baseline Rd.
City
State
Zip
85206-4677
Phone Number
480-969-4040
Fax Number
480-830-1042
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
TAP4826 (Arizona)
Definition
Definition to come...
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