person
Lisa Wagner, NP
Acute Care Nurse Practitioner in New York, New York
NPI 1083824593

Lisa Wagner is an Acute Care Nurse Practitioner based in New York, NY and is specialized in Acute Care. Lisa Wagner practices in New York, NY and has the professional credentials of NP. The NPI Number for Lisa Wagner is 1083824593 and holds a License No. 430343 (New York).

The current practice location address for Lisa Wagner is 1250 Broadway, 17Th Floor, New York, NY and can be reached out via phone at 212-465-2751.

Location: 1250 Broadway, 17Th Floor, New York, NY, 10128-2214
person
Provider Profile Details
NPI Number
1083824593
Provider Name
Lisa Wagner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1250 Broadway, 17Th Floor, New York, NY, 10128-2214
Phone Number
212-465-2751
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LW385602 01 NY NYS HEALTH COMMERCE SYSTEM
institution
Provider Business Practice Location Address Details
Address
1250 Broadway, 17Th Floor
City
State
Zip
10001
Phone Number
212-465-2751
Fax Number
person
Provider Business Mailing Address Details
Address
1250 Broadway, 17Th Floor
City
State
Zip
10001
Phone Number
212-465-2751
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
430343 (New York)
Definition
Definition to come...
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