Wagoner, Michele
Wagoner, Michele is an individual health care provider with primary practice located at 1050 W Industrial Blvd Ste 17 , Cumberland MD 21502-4331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagoner, Michele can be contacted via phone (240) 964-9300.Contact Information
Primary practice address
1050 W Industrial Blvd Ste 17
Cumberland MD 21502-4331
Phone: (240) 964-9300
Fax: (240) 964-9310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 65656 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R144825 | Maryland |
Profile Details
| NPI number | 1407973894 |
|---|---|
| LBN Legal business name | Wagoner, Michele |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 27th, 2020 - 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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