person
Mrs. Keri Jean Wagner, NP
Family Nurse Practitioner in Commack, New York
NPI 1053433474

Keri Jean Wagner is a Family Nurse Practitioner based in Commack, NY and is specialized in Family. Keri Jean Wagner practices in Commack, NY and has the professional credentials of NP. The NPI Number for Keri Jean Wagner is 1053433474 and holds a License No. F334793 (New York).

The current practice location address for Keri Jean Wagner is 650 Commack Rd, Commack, NY and can be reached out via phone at 631-623-4000 and via fax at 631-864-2787.

Location: 650 Commack Rd, Commack, NY, 11725-5404
person
Provider Profile Details
NPI Number
1053433474
Provider Name
Keri Jean Wagner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
650 Commack Rd, Commack, NY, 11725-5404
Phone Number
631-623-4000
Fax Number
631-864-2787
Provider Enumeration Date
04/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 Commack Rd
City
State
Zip
11725-5404
Phone Number
631-623-4000
Fax Number
631-864-2787
person
Provider Business Mailing Address Details
Address
650 Commack Rd
City
State
Zip
11725-5404
Phone Number
631-623-4000
Fax Number
631-864-2787
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F334793 (New York)
Definition
Definition to come...
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