person
Nina E Wagner, CRNP
Gerontology Nurse Practitioner in Milwaukee, Wisconsin
NPI 1457862435

Nina E Wagner is a Gerontology Nurse Practitioner based in Milwaukee, WI and is specialized in Gerontology. Nina E Wagner practices in Milwaukee, WI and has the professional credentials of CRNP. The NPI Number for Nina E Wagner is 1457862435 and holds a License No. 11521 (Wisconsin).

The current practice location address for Nina E Wagner is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-8710 and via fax at 414-805-1101.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1457862435
Provider Name
Nina E Wagner
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-8710
Fax Number
414-805-1101
Provider Enumeration Date
10/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457862435 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-8710
Fax Number
414-805-1101
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-8710
Fax Number
414-805-1101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
11521 (Wisconsin)
Definition
Definition to come...
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