Wagmeister, Mary E.

Wagmeister, Mary E. is an individual health care provider with primary practice located at 11108 Parkview Circle Dr , Fort Wayne IN 46845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wagmeister, Mary E. can be contacted via phone (260) 266-5700.

Contact Information

Primary practice address
11108 Parkview Circle Dr Fort Wayne IN 46845
Fax: (260) 266-5910
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005845A Indiana

Profile Details

NPI number 1568422798
LBN Legal business name Wagmeister, Mary E.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568422798 NPPES
Indiana MEDICAID 201332540

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