Wagner, Nicole

Wagner, Nicole is an individual health care provider with primary practice located at 431 W Liberty St , Wauconda IL 60084-2452. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wagner, Nicole can be contacted via phone (847) 526-2151.

Contact Information

Primary practice address
431 W Liberty St Wauconda IL 60084-2452
Phone: (847) 526-2151
Fax: (847) 526-2017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209004749 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209004749 Illinois

Profile Details

NPI number 1194968602
LBN Legal business name Wagner, Nicole
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Jun 24th, 2019 - about 5 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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