person
Mr. Anthony Mark Wagner, FNP
Family Nurse Practitioner in Maryville, Tennessee
NPI 1659436830

Anthony Mark Wagner is a Family Nurse Practitioner based in Knoxville, TN and is specialized in Family. Anthony Mark Wagner practices in Maryville, TN and has the professional credentials of FNP. The NPI Number for Anthony Mark Wagner is 1659436830 and holds a License No. RN129889 NP (Tennessee).

The current practice location address for Anthony Mark Wagner is 210 Simmons St, Maryville, TN and can be reached out via phone at 865-970-9800 and via fax at 865-983-4518. You can also correspond with Anthony Mark Wagner through the mailing address at 1400 CENTERPOINT BLVD STE 158, KNOXVILLE, TN - 37932-1966 (mailing address contact number: 865-374-5806).

Location: 210 Simmons St, Maryville, TN, 37932-1966
person
Provider Profile Details
NPI Number
1659436830
Provider Name
Anthony Mark Wagner
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
210 Simmons St, Maryville, TN, 37932-1966
Phone Number
865-970-9800
Fax Number
865-983-4518
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1514002 05 TN
institution
Provider Business Practice Location Address Details
Address
210 Simmons St
City
State
Zip
37801
Phone Number
865-970-9800
Fax Number
865-983-4518
person
Provider Business Mailing Address Details
Address
210 Simmons St
City
State
Zip
37801
Phone Number
865-970-9800
Fax Number
865-983-4518
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN129889 NP (Georgia)
Definition
Definition to come...
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