Wagner, Colleen M

Wagner, Colleen M is an individual health care provider with primary practice located at 14 Ridgedale Ave Ste 103 , Cedar Knolls NJ 07927-1106. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wagner, Colleen M can be contacted via phone (973) 295-6335.

Contact Information

Primary practice address
14 Ridgedale Ave Ste 103 Cedar Knolls NJ 07927-1106
Phone: (973) 295-6335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F310566 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00855900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00855900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F310566 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00855900 New Jersey

Profile Details

NPI number 1316310568
LBN Legal business name Wagner, Colleen M
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Feb 22nd, 2023 - 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.

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