Wagner, Amanda C

Wagner, Amanda C is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wagner, Amanda C can be contacted via phone (718) 670-2000.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9407106 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 786638 New York

Profile Details

NPI number 1164058020
LBN Legal business name Wagner, Amanda C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2020
Last updated Mar 22nd, 2020 - about 4 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.

Request for update

Popular Providers