Wagner-Richardson, Maria-Gretchen Fabroa
Wagner-Richardson, Maria-Gretchen Fabroa is an individual health care provider with primary practice located at 5735 Durand Ave , Mount Pleasant WI 53406-5011. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wagner-Richardson, Maria-Gretchen Fabroa can be contacted via phone (262) 598-1392.Contact Information
Primary practice address
5735 Durand Ave
Mount Pleasant WI 53406-5011
Phone: (262) 598-1392
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 251755-30 | Wisconsin |
Profile Details
| NPI number | 1639702228 |
|---|---|
| LBN Legal business name | Wagner-Richardson, Maria-Gretchen Fabroa |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2020 |
| Last updated | Feb 21st, 2020 - about 4 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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