Courtney A Wagner, PA-C
Physician Assistant in East Greenwich, Rhode Island
1619304904- Practice location
- 1598 S County Trl Ste 100, East Greenwich, RI 02818
- Phone
- 401-402-1040
- Fax
- —
- Last updated
- November 10, 2026
Courtney Anne Wagner is a Physician Assistant based in East Greenwich, RI. Courtney Anne Wagner practices in East Greenwich, RI and has the professional credentials of PA-C. The NPI Number for Courtney Anne Wagner is 1619304904 and holds a License No. PA00835 (RI). The current practice location address for Courtney Anne Wagner is 1598 S County Trl Ste 100, East Greenwich, RI 02818 and can be reached out via phone at 401-402-1040.
Provider Profile Details
- NPI Number
- 1619304904
- Provider Name
- Courtney Anne Wagner
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1598 S County Trl Ste 100, East Greenwich, RI 02818
- Phone Number
- 401-402-1040
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2013
- Last Update Date
- November 10, 2026
- Certification Date
- November 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1598 S County Trl Ste 100
East Greenwich, RI 02818 - City
- East Greenwich
- State
- Rhode Island
- Zip
- 02818
- Phone Number
- 401-402-1040
Provider Business Mailing Address Details
- Address
- Po Box 1119
Providence, RI 02901-1119 - City
- Providence
- State
- RI
- Zip
- 02901-1119
License Information
- License Number
- PA00835
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near East Greenwich, RI
View all Physician Assistants in East Greenwich →- Dr. Julia O Baltz, MDDermatology · NPI 1588082200
- Dr. Nathaniel J Jellinek, MDDermatology · NPI 1245256528
- Dmitry Drozhzhin, DOInternal Medicine · NPI 1336596709
- Dermatology Professionals INC.Dermatology · NPI 1902040835
- Dr. Lynn E Iler, MDDermatology · NPI 1356351126
- Steven D Krueger, MDDermatology · NPI 1932604568
Frequently Asked Questions
What is the NPI number of Courtney A Wagner, PA-C?
The NPI number of Courtney A Wagner, PA-C is 1619304904. It was assigned on October 1, 2013 and is currently active in the NPPES registry.
What is the specialty of Courtney A Wagner, PA-C?
Courtney A Wagner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00835.
Where does Courtney A Wagner, PA-C practice?
The practice location is 1598 S County Trl Ste 100, East Greenwich, RI 02818. The office can be reached at 401-402-1040 (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 1619304904 directly on the NPPES registry website.