person
Tanya Wagner, FNP-C
Family Nurse Practitioner in Chicago, Illinois
NPI 1043091861

Tanya Wagner is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Tanya Wagner practices in Chicago, IL and has the professional credentials of FNP-C. The NPI Number for Tanya Wagner is 1043091861 and holds a License No. 209028368 (Illinois).

The current practice location address for Tanya Wagner is 5521 S Kedzie Ave Unit 106, Chicago, IL and can be reached out via phone at 773-306-2546.

Location: 5521 S Kedzie Ave Unit 106, Chicago, IL, 60629-2448
person
Provider Profile Details
NPI Number
1043091861
Provider Name
Tanya Wagner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5521 S Kedzie Ave Unit 106, Chicago, IL, 60629-2448
Phone Number
773-306-2546
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5521 S Kedzie Ave Unit 106
City
State
Zip
60629-2448
Phone Number
773-306-2546
Fax Number
person
Provider Business Mailing Address Details
Address
5521 S Kedzie Ave Unit 106
City
State
Zip
60629-2448
Phone Number
773-306-2546
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209028368 (Illinois)
Definition
Definition to come...
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