Wagstrom, Abby

Wagstrom, Abby is an individual health care provider with primary practice located at 1825 Woodwinds Dr , Woodbury MN 55125-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagstrom, Abby can be contacted via phone (651) 232-6700.

Contact Information

Primary practice address
1825 Woodwinds Dr Woodbury MN 55125-2202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP 4037 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6516 - 33 Wisconsin

Profile Details

NPI number 1366827552
LBN Legal business name Wagstrom, Abby
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Mar 17th, 2018 - about 7 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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