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Ms. Ellen A Wagner, CRNA
Certified Registered Nurse Anesthetist in Southampton, New York
NPI 1568408789

Ellen A Wagner is a Certified Registered Nurse Anesthetist based in Warwick, NY. Ellen A Wagner practices in Southampton, NY and has the professional credentials of CRNA. The NPI Number for Ellen A Wagner is 1568408789 and holds a License No. 3472891 (New York).

The current practice location address for Ellen A Wagner is 265 Herrick Road, Southampton, NY and can be reached out via phone at 631-726-8350 and via fax at 631-726-8519.

Location: 265 Herrick Road, Southampton, NY, 02886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568408789
Provider Name
Ellen A Wagner
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
265 Herrick Road, Southampton, NY, 02886
Phone Number
631-726-8350
Fax Number
631-726-8519
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00164249 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
265 Herrick Road
City
Southampton
State
New York
Zip
11968
Phone Number
631-726-8350
Fax Number
631-726-8519
person
Provider Business Mailing Address Details
Address
265 Herrick Road
City
Southampton
State
New York
Zip
11968
Phone Number
631-726-8350
Fax Number
631-726-8519
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
3472891 (New York)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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