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Ms. Melissa Sue Wagner, ACNP
Nurse Practitioner in Bloomington, Minnesota
NPI 1366763708

Melissa Sue Wagner is a Nurse Practitioner based in Bloomington, MN. Melissa Sue Wagner practices in Bloomington, MN and has the professional credentials of ACNP. The NPI Number for Melissa Sue Wagner is 1366763708 and holds a License No. 2010012196 (Minnesota).

The current practice location address for Melissa Sue Wagner is 8100 Northland Dr, Bloomington, MN and can be reached out via phone at 952-831-8742.

Location: 8100 Northland Dr, Bloomington, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366763708
Provider Name
Melissa Sue Wagner
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
8100 Northland Dr, Bloomington, MN, 55425-4516
Phone Number
952-831-8742
Fax Number
Provider Enumeration Date
06/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8100 Northland Dr
City
Bloomington
State
Minnesota
Zip
55431-4800
Phone Number
952-831-8742
Fax Number
person
Provider Business Mailing Address Details
Address
8100 Northland Dr
City
Bloomington
State
Minnesota
Zip
55431-4800
Phone Number
952-831-8742
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
3805 (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
Acute Care
Taxonomy
363LA2100X
License No.
2010012196 (Missouri)
Definition
Definition to come...
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