Wagner, Pamela

Wagner, Pamela is an individual health care provider with primary practice located at 2900 Chanticleer Ave. , Santa Cruz CA 95065-1816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagner, Pamela can be contacted via phone (831) 462-7100.

Contact Information

Primary practice address
2900 Chanticleer Ave. Santa Cruz CA 95065-1816
Phone: (831) 462-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13893 California

Profile Details

NPI number 1932179892
LBN Legal business name Wagner, Pamela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 8th, 2012 - about 12 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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