Tyler James Wagner - Portsmouth, VA

Tyler James Wagner

Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia

NPI 1154024289

Tyler James Wagner is a Student in an Organized Health Care Education/Training Program based in Newburg, VA. Tyler James Wagner practices in Portsmouth, VA. The NPI Number for Tyler James Wagner is 1154024289 and holds a License No. (Virginia).

The current practice location address for Tyler James Wagner is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 20664-6605

NPI Number

1154024289

Provider Name

Tyler James Wagner

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Cir, Portsmouth, VA, 20664-6605

Phone Number

757-953-5000

Fax Number

Provider Enumeration Date

03/27/2023

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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