Active NPIIndividual providerSole proprietor

Dr. Elizabeth S Wagner, MD, MPH

Psychiatry & Neurology, Psychiatry in Riverside, Rhode Island

NPI Number1831629336
Practice location
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Fax
—
Last updated
August 24, 2022

Elizabeth Stanton Wagner is a Psychiatry & Neurology, Psychiatry based in Riverside, RI. Elizabeth Stanton Wagner practices in Riverside, RI and has the professional credentials of MD, MPH. The NPI Number for Elizabeth Stanton Wagner is 1831629336 and holds a License No. LP04105 (RI). The current practice location address for Elizabeth Stanton Wagner is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-432-1000.

Provider Profile Details

NPI Number
1831629336
Provider Name
Elizabeth Stanton Wagner
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Female
Address
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Phone Number
401-432-1000
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 15, 2017
Last Update Date
August 24, 2022
Certification Date
August 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Zip
02915-5061
Phone Number
401-432-1000
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number (1)
LP04105
License State (1)
RI
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
LP04105
License State (2)
RI
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (3)
LP04105
License State (3)
RI
License Number (4)
MD18427
License State (4)
RI
Taxonomy (4)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth S Wagner, MD, MPH?

The NPI number of Dr. Elizabeth S Wagner, MD, MPH is 1831629336. It was assigned on June 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth S Wagner, MD, MPH?

Dr. Elizabeth S Wagner, MD, MPH is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in RI under license number LP04105.

Where does Dr. Elizabeth S Wagner, MD, MPH practice?

The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-432-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831629336 directly on the NPPES registry website.

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