Wagner, Denise Catherine
Wagner, Denise Catherine is an individual health care provider with primary practice located at Yale-New Haven Hospital , 20 York Street Primary Care Center, New Haven CT 06510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wagner, Denise Catherine can be contacted via phone (203) 688-9335.Contact Information
Primary practice address
Yale-New Haven Hospital , 20 York Street Primary Care Center
New Haven CT 06510
Phone: (203) 688-9335
Fax: (203) 688-6514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0000711 | Connecticut |
Profile Details
| NPI number | 1356416747 |
|---|---|
| LBN Legal business name | Wagner, Denise Catherine |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Aug 12th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356416747 | NPPES |
| Connecticut | MEDICAID | 004185139 |
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