Wagner, Brenton Paul

Wagner, Brenton Paul is an individual health care provider with primary practice located at 12300 Mccracken Road , Garfield Heights OH 44125. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wagner, Brenton Paul can be contacted via phone (216) 581-0500.

Contact Information

Primary practice address
12300 Mccracken Road Garfield Heights OH 44125
Phone: (216) 581-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.022596 Ohio

Profile Details

NPI number 1326539578
LBN Legal business name Wagner, Brenton Paul
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Feb 21st, 2022 - about 2 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