Wagner, Tanya Marie

Wagner, Tanya Marie is an individual health care provider with primary practice located at 121 S Tulpehocken St , Pine Grove PA 17963-1217. 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, Tanya Marie can be contacted via phone (570) 345-2345.

Contact Information

Primary practice address
121 S Tulpehocken St Pine Grove PA 17963-1217
Phone: (570) 345-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP029206 Pennsylvania

Profile Details

NPI number 1659145480
LBN Legal business name Wagner, Tanya Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2023
Last updated Feb 23rd, 2024 - 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.

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