Wagner, Joyce Lynn
Wagner, Joyce Lynn is an individual health care provider with primary practice located at 1553 Us Highway 1 , Vero Beach FL 32960. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wagner, Joyce Lynn can be contacted via phone (772) 257-8224.Contact Information
Primary practice address
1553 Us Highway 1
Vero Beach FL 32960
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102320 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9102320 | Florida |
Profile Details
NPI number | 1598720229 |
---|---|
LBN Legal business name | Wagner, Joyce Lynn |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2006 |
Last updated | Jul 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598720229 | NPPES |
Florida | Other | PA9102320 | STATE LICENSE |
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