Wagner, Phyllis A.

Wagner, Phyllis A. is an sole proprietor health care provider with primary practice located at 3390 Sw 131St Ter , Davie FL 33330-4618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagner, Phyllis A. can be contacted via phone (954) 424-0346.

Contact Information

Primary practice address
3390 Sw 131St Ter Davie FL 33330-4618
Phone: (954) 424-0346
Fax: (954) 370-4833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 670502 Florida

Profile Details

NPI number 1609157569
LBN Legal business name Wagner, Phyllis A.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2011
Last updated Sep 6th, 2011 - about 13 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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