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Tanya Marie Wagner, CRNP
Family Nurse Practitioner in Pine Grove, Pennsylvania
NPI 1659145480

Tanya Marie Wagner is a Family Nurse Practitioner based in Allentown, PA and is specialized in Family. Tanya Marie Wagner practices in Pine Grove, PA and has the professional credentials of CRNP. The NPI Number for Tanya Marie Wagner is 1659145480 and holds a License No. SP029206 (Pennsylvania).

The current practice location address for Tanya Marie Wagner is 121 S Tulpehocken St, Pine Grove, PA and can be reached out via phone at 570-345-2345.

Location: 121 S Tulpehocken St, Pine Grove, PA, 18103-5622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659145480
Provider Name
Tanya Marie Wagner
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
121 S Tulpehocken St, Pine Grove, PA, 18103-5622
Phone Number
570-345-2345
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
121 S Tulpehocken St
City
Pine Grove
State
Pennsylvania
Zip
17963-1217
Phone Number
570-345-2345
Fax Number
person
Provider Business Mailing Address Details
Address
121 S Tulpehocken St
City
Pine Grove
State
Pennsylvania
Zip
17963-1217
Phone Number
570-345-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP029206 (Pennsylvania)
Definition
Definition to come...
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