Wagner, Katherine Ann
Wagner, Katherine Ann is an individual health care provider with primary practice located at 2951 Fulton Ave , Sacramento CA 95821-4909. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wagner, Katherine Ann can be contacted via phone (916) 486-7555.Contact Information
Primary practice address
2951 Fulton Ave
Sacramento CA 95821-4909
Phone: (916) 486-7555
Fax: (916) 486-7557
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 21313 | California |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 21313 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21313 | California |
Profile Details
NPI number | 1538446117 |
---|---|
LBN Legal business name | Wagner, Katherine Ann |
Credentials | RN, FNP-BC, NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2011 |
Last updated | Mar 13th, 2014 - about 10 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 | 1538446117 | NPPES |
California | Other | 1538446117 | MEDI/MEDI, COMMERCIAL INSURANCE CONTRACTED WITH CLINIC |
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