person
Sophia Collette Wagner
Family Nurse Practitioner in Metairie, Louisiana
NPI 1417683277

Sophia Collette Wagner is a Family Nurse Practitioner based in Metairie, LA and is specialized in Family. Sophia Collette Wagner practices in Metairie, LA. The NPI Number for Sophia Collette Wagner is 1417683277 and holds a License No. 226793 (Louisiana).

The current practice location address for Sophia Collette Wagner is 4320 Houma Blvd Fl 5, Metairie, LA and can be reached out via phone at 504-503-6565 and via fax at 504-456-8053.

Location: 4320 Houma Blvd Fl 5, Metairie, LA, 70006-2970
person
Provider Profile Details
NPI Number
1417683277
Provider Name
Sophia Collette Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
4320 Houma Blvd Fl 5, Metairie, LA, 70006-2970
Phone Number
504-503-6565
Fax Number
504-456-8053
Provider Enumeration Date
07/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4320 Houma Blvd Fl 5
City
State
Zip
70006-2961
Phone Number
504-503-6565
Fax Number
504-456-8053
person
Provider Business Mailing Address Details
Address
4320 Houma Blvd Fl 5
City
State
Zip
70006-2961
Phone Number
504-503-6565
Fax Number
504-456-8053
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
226793 (Louisiana)
Definition
Definition to come...
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