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Kathleen Mary Wagner, ARNP
Obstetrics & Gynecology Nurse Practitioner in Melbourne, Florida
NPI 1740397041

Kathleen Mary Wagner is a Obstetrics & Gynecology Nurse Practitioner based in Melbourne, FL and is specialized in Obstetrics & Gynecology. Kathleen Mary Wagner practices in Melbourne, FL and has the professional credentials of ARNP. The NPI Number for Kathleen Mary Wagner is 1740397041 and holds a License No. AP30000510 (Florida).

The current practice location address for Kathleen Mary Wagner is 1223 Gateway Drive, Melbourne, FL and can be reached out via phone at 321-725-4500 and via fax at 321-722-1237. You can also correspond with Kathleen Mary Wagner through the mailing address at 1223 GATEWAY DRIVE, MELBOURNE, FL - 32901-2607 (mailing address contact number: 321-725-4500).

Location: 1223 Gateway Drive, Melbourne, FL, 32901-2607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740397041
Provider Name
Kathleen Mary Wagner
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1223 Gateway Drive, Melbourne, FL, 32901-2607
Phone Number
321-725-4500
Fax Number
321-722-1237
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9649823 05 WA
0212946 01 WA LABOR & INDUSTRIES
807564400 05 ID
institution
Provider Business Practice Location Address Details
Address
1223 Gateway Drive
City
Melbourne
State
Florida
Zip
32901-2607
Phone Number
321-725-4500
Fax Number
321-722-1237
person
Provider Business Mailing Address Details
Address
1223 Gateway Drive
City
Melbourne
State
Florida
Zip
32901-2607
Phone Number
321-725-4500
Fax Number
321-722-1237
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
ARNP9333175 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
AP30000510 (Washington)
Definition
Definition to come...
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