Wagner, Ashley C

Wagner, Ashley C is an sole proprietor health care provider with primary practice located at 350 Redstone Ave W , Crestview FL 32536-6433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wagner, Ashley C can be contacted via phone (850) 689-1740.

Contact Information

Primary practice address
350 Redstone Ave W Crestview FL 32536-6433
Phone: (850) 689-1740
Fax: (850) 682-6652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.648 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-9105434 Florida

Profile Details

NPI number 1205078706
LBN Legal business name Wagner, Ashley C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2009
Last updated Jun 22nd, 2010 - about 14 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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