Wagner, Ellen Africano

Wagner, Ellen Africano is an individual health care provider with primary practice located at 19624 Governors Hwy , Flossmoor IL 60422-2077. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Wagner, Ellen Africano can be contacted via phone (708) 798-5838.

Contact Information

Primary practice address
19624 Governors Hwy Flossmoor IL 60422-2077
Phone: (708) 798-5838
Fax: (708) 798-5865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041372498 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.012203 Illinois

Profile Details

NPI number 1679975411
LBN Legal business name Wagner, Ellen Africano
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2014
Last updated Jul 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.

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