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Ms. Tasia Dianne Wagner, FNP
Family Nurse Practitioner in Vista, California
NPI 1598158768

Tasia Dianne Wagner is a Family Nurse Practitioner based in Vista, CA and is specialized in Family. Tasia Dianne Wagner practices in Vista, CA and has the professional credentials of FNP. The NPI Number for Tasia Dianne Wagner is 1598158768 and holds a License No. NP95001650 (California).

The current practice location address for Tasia Dianne Wagner is 1000 Vale Terrace Dr, Vista, CA and can be reached out via phone at 760-631-5000.

Location: 1000 Vale Terrace Dr, Vista, CA, 92084-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598158768
Provider Name
Tasia Dianne Wagner
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1000 Vale Terrace Dr, Vista, CA, 92084-5218
Phone Number
760-631-5000
Fax Number
Provider Enumeration Date
03/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95001650 (California)
Definition
Definition to come...
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