person
Monta Wagner, NP
Family Nurse Practitioner in Horseheads, New York
NPI 1639101363

Monta Wagner is a Family Nurse Practitioner based in Sayre, NY and is specialized in Family. Monta Wagner practices in Horseheads, NY and has the professional credentials of NP. The NPI Number for Monta Wagner is 1639101363 and holds a License No. 330195 (New York).

The current practice location address for Monta Wagner is 3344 Chambers Rd Ste 200, Horseheads, NY and can be reached out via phone at 607-734-2264 and via fax at 607-734-2932. You can also correspond with Monta Wagner through the mailing address at 1 GUTHRIE SQ, SAYRE, PA - 18840-1625 (mailing address contact number: 607-734-2264).

Location: 3344 Chambers Rd Ste 200, Horseheads, NY, 18840-1625
person
Provider Profile Details
NPI Number
1639101363
Provider Name
Monta Wagner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3344 Chambers Rd Ste 200, Horseheads, NY, 18840-1625
Phone Number
607-734-2264
Fax Number
607-734-2932
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01267821 05 NY
161355553 01 BUSINESS TAX ID
institution
Provider Business Practice Location Address Details
Address
3344 Chambers Rd Ste 200
City
State
Zip
14845-1403
Phone Number
607-734-2264
Fax Number
607-734-2932
person
Provider Business Mailing Address Details
Address
3344 Chambers Rd Ste 200
City
State
Zip
14845-1403
Phone Number
607-734-2264
Fax Number
607-734-2932
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
330195 (New York)
Definition
Definition to come...
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