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Lynn Renee Wagner, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Portsmouth, Virginia
NPI 1295307791

Lynn Renee Wagner is a Psychiatric/Mental Health Nurse Practitioner based in Newport News, VA and is specialized in Psychiatric/Mental Health. Lynn Renee Wagner practices in Portsmouth, VA and has the professional credentials of PMHNP-BC. The NPI Number for Lynn Renee Wagner is 1295307791 and holds a License No. 2021030408 (Virginia).

The current practice location address for Lynn Renee Wagner is 3300 Academy Ave, Portsmouth, VA and can be reached out via phone at 757-483-6404.

Location: 3300 Academy Ave, Portsmouth, VA, 23606-1947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295307791
Provider Name
Lynn Renee Wagner
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3300 Academy Ave, Portsmouth, VA, 23606-1947
Phone Number
757-483-6404
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3300 Academy Ave
City
Portsmouth
State
Virginia
Zip
23703-3205
Phone Number
757-483-6404
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Academy Ave
City
Portsmouth
State
Virginia
Zip
23703-3205
Phone Number
757-483-6404
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2021030408 (Virginia)
Definition
Definition to come...
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