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Miss Joelle Susan Wagner, PA
Student in an Organized Health Care Education/Training Program in West Seneca, New York
NPI 1750858981

Joelle Susan Wagner is a Student in an Organized Health Care Education/Training Program based in West Seneca, NY. Joelle Susan Wagner practices in West Seneca, NY and has the professional credentials of PA. The NPI Number for Joelle Susan Wagner is 1750858981 and holds a License No. 025951-01 (New York).

The current practice location address for Joelle Susan Wagner is 767 Main Street, West Seneca, NY and can be reached out via phone at 716-361-1624.

Location: 767 Main Street, West Seneca, NY, 14224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750858981
Provider Name
Joelle Susan Wagner
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
767 Main Street, West Seneca, NY, 14224
Phone Number
716-361-1624
Fax Number
Provider Enumeration Date
10/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
767 Main Street
City
West Seneca
State
New York
Zip
14224
Phone Number
716-361-1624
Fax Number
person
Provider Business Mailing Address Details
Address
767 Main Street
City
West Seneca
State
New York
Zip
14224
Phone Number
716-361-1624
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
025951-01 (New York)
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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