Wagner, Andrea

Wagner, Andrea is an individual health care provider with primary practice located at 445 N Fenway Dr , Fenton MI 48430-2666. 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. Wagner, Andrea can be contacted via phone (810) 750-6060.

Contact Information

Primary practice address
445 N Fenway Dr Fenton MI 48430-2666
Phone: (810) 750-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704226341 Michigan

Profile Details

NPI number 1972036960
LBN Legal business name Wagner, Andrea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Aug 7th, 2018 - about 7 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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