person
Susan Wagner, NP
Adult Health Nurse Practitioner in North Syracuse, New York
NPI 1205979812

Susan Wagner is an Adult Health Nurse Practitioner based in North Syracuse, NY and is specialized in Adult Health. Susan Wagner practices in North Syracuse, NY and has the professional credentials of NP. The NPI Number for Susan Wagner is 1205979812 and holds a License No. F300531 (New York).

The current practice location address for Susan Wagner is 6846 Buckley Rd, North Syracuse, NY and can be reached out via phone at 315-410-6400 and via fax at 315-410-6410.

Location: 6846 Buckley Rd, North Syracuse, NY, 13212-4275
person
Provider Profile Details
NPI Number
1205979812
Provider Name
Susan Wagner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6846 Buckley Rd, North Syracuse, NY, 13212-4275
Phone Number
315-410-6400
Fax Number
315-410-6410
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01969819 05 NY
institution
Provider Business Practice Location Address Details
Address
6846 Buckley Rd
City
State
Zip
13212-4275
Phone Number
315-410-6400
Fax Number
315-410-6410
person
Provider Business Mailing Address Details
Address
6846 Buckley Rd
City
State
Zip
13212-4275
Phone Number
315-410-6400
Fax Number
315-410-6410
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F300531 (New York)
Definition
Definition to come...
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