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Julie Ann Wagner, NP
Nurse Practitioner in St Louis Park, Minnesota
NPI 1093869711

Julie Ann Wagner is a Nurse Practitioner based in Bloomington, MN. Julie Ann Wagner practices in St Louis Park, MN and has the professional credentials of NP. The NPI Number for Julie Ann Wagner is 1093869711 and holds a License No. 2006007942 (Minnesota).

The current practice location address for Julie Ann Wagner is 3931 Louisiana Ave S, St Louis Park, MN and can be reached out via phone at 952-993-3230 and via fax at 952-993-1748.

Location: 3931 Louisiana Ave S, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093869711
Provider Name
Julie Ann Wagner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3931 Louisiana Ave S, St Louis Park, MN, 55425-4516
Phone Number
952-993-3230
Fax Number
952-993-1748
Provider Enumeration Date
01/22/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3931 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-5000
Phone Number
952-993-3230
Fax Number
952-993-1748
person
Provider Business Mailing Address Details
Address
3931 Louisiana Ave S
City
St Louis Park
State
Minnesota
Zip
55426-5000
Phone Number
952-993-3230
Fax Number
952-993-1748
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2564 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2006007942 (Minnesota)
Definition
Definition to come...
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