Wagner, Krystn Rae
Wagner, Krystn Rae is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-3733. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Wagner, Krystn Rae can be contacted via phone (615) 322-3000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-3733
Phone: (615) 322-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 040631 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 88761 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 040631 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 040631 | Connecticut |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 69119 | Tennessee |
Profile Details
| NPI number | 1669455127 |
|---|---|
| LBN Legal business name | Wagner, Krystn Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Oct 26th, 2023 - about last year |
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 | 1669455127 | NPPES |
| Connecticut | MEDICAID | 001406314 |
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