person
Amanda Wagner, FNP-BC
Family Nurse Practitioner in Wallingford, Connecticut
NPI 1790551943

Amanda Wagner is a Family Nurse Practitioner based in Wallingford, CT and is specialized in Family. Amanda Wagner practices in Wallingford, CT and has the professional credentials of FNP-BC. The NPI Number for Amanda Wagner is 1790551943 and holds a License No. 12.012614 (Connecticut).

The current practice location address for Amanda Wagner is 40 Madison Ave, Wallingford, CT and can be reached out via phone at 203-415-3756.

Location: 40 Madison Ave, Wallingford, CT, 06492-5120
person
Provider Profile Details
NPI Number
1790551943
Provider Name
Amanda Wagner
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
40 Madison Ave, Wallingford, CT, 06492-5120
Phone Number
203-415-3756
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Madison Ave
City
State
Zip
06492-5120
Phone Number
203-415-3756
Fax Number
person
Provider Business Mailing Address Details
Address
40 Madison Ave
City
State
Zip
06492-5120
Phone Number
203-415-3756
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12.012614 (Connecticut)
Definition
Definition to come...
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