Wagner, Courtney Anne

Wagner, Courtney Anne is an individual health care provider with primary practice located at 1598 S County Trl Ste 100 , East Greenwich RI 02818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagner, Courtney Anne can be contacted via phone (401) 402-1040.

Contact Information

Primary practice address
1598 S County Trl Ste 100 East Greenwich RI 02818
Phone: (401) 402-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00835 Rhode Island

Profile Details

NPI number 1619304904
LBN Legal business name Wagner, Courtney Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Aug 6th, 2018 - about 6 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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