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Anna Wagner
Student in an Organized Health Care Education/Training Program in West Valley City, Utah
NPI 1689283269

Anna Wagner is a Student in an Organized Health Care Education/Training Program based in West Valley City, UT. Anna Wagner practices in West Valley City, UT. The NPI Number for Anna Wagner is 1689283269 and holds a License No. (Utah).

The current practice location address for Anna Wagner is 3900 S Lee Maur St, West Valley City, UT and can be reached out via phone at 440-258-1580.

Location: 3900 S Lee Maur St, West Valley City, UT, 84119-4506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689283269
Provider Name
Anna Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3900 S Lee Maur St, West Valley City, UT, 84119-4506
Phone Number
440-258-1580
Fax Number
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10756382-3102 01 UT UTAH DOPL
institution
Provider Business Practice Location Address Details
Address
3900 S Lee Maur St
City
West Valley City
State
Utah
Zip
84119-4506
Phone Number
440-258-1580
Fax Number
person
Provider Business Mailing Address Details
Address
3900 S Lee Maur St
City
West Valley City
State
Utah
Zip
84119-4506
Phone Number
440-258-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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