person
Colleen M Wagner, A-GNP-C
Gerontology Nurse Practitioner in Cedar Knolls, New Jersey
NPI 1316310568

Colleen M Wagner is a Gerontology Nurse Practitioner based in Cedar Knolls, NJ and is specialized in Gerontology. Colleen M Wagner practices in Cedar Knolls, NJ and has the professional credentials of A-GNP-C. The NPI Number for Colleen M Wagner is 1316310568 and holds a License No. F310566 (New Jersey).

The current practice location address for Colleen M Wagner is 14 Ridgedale Ave Ste 103, Cedar Knolls, NJ and can be reached out via phone at 973-295-6335.

Location: 14 Ridgedale Ave Ste 103, Cedar Knolls, NJ, 07927-1106
person
Provider Profile Details
NPI Number
1316310568
Provider Name
Colleen M Wagner
Credential
A-GNP-C
Provider Entity Type
Individual
Gender
Female
Address
14 Ridgedale Ave Ste 103, Cedar Knolls, NJ, 07927-1106
Phone Number
973-295-6335
Fax Number
Provider Enumeration Date
11/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Ridgedale Ave Ste 103
City
State
Zip
07927-1106
Phone Number
973-295-6335
Fax Number
person
Provider Business Mailing Address Details
Address
14 Ridgedale Ave Ste 103
City
State
Zip
07927-1106
Phone Number
973-295-6335
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
26NJ00855900 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
26NJ00855900 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F310566 (New York)
Definition
Definition to come...
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