Active NPIIndividual provider

Amanda Wagner, APRN, CRNA

Nurse Anesthetist, Certified Registered in Bridgeport, Connecticut

NPI Number1407582497
Practice location
267 Grant St, Bridgeport, CT 06610-2870
Fax
—
Last updated
September 17, 2022

Amanda Wagner is a Nurse Anesthetist, Certified Registered based in Bridgeport, CT. Amanda Wagner practices in Bridgeport, CT and has the professional credentials of APRN, CRNA. The NPI Number for Amanda Wagner is 1407582497 and holds a License No. 10891 (CT). The current practice location address for Amanda Wagner is 267 Grant St, Bridgeport, CT 06610-2870 and can be reached out via phone at 203-384-3000.

Provider Profile Details

NPI Number
1407582497
Provider Name
Amanda Wagner
Credential
APRN, CRNA
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2870
Phone Number
203-384-3000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2022
Last Update Date
September 17, 2022
Certification Date
September 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2870
Zip
06610-2870
Phone Number
203-384-3000
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
84 Wheeler Park Ave
Fairfield, CT 06825-1143
City
Fairfield
State
CT
Zip
06825-1143

License Information

License Number
10891
License State
CT
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Wagner, APRN, CRNA?

The NPI number of Amanda Wagner, APRN, CRNA is 1407582497. It was assigned on August 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Amanda Wagner, APRN, CRNA?

Amanda Wagner, APRN, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CT under license number 10891.

Where does Amanda Wagner, APRN, CRNA practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2870. The office can be reached at 203-384-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407582497 directly on the NPPES registry website.

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