Wagner, Ali E

Wagner, Ali E is an individual health care provider with primary practice located at 1115 Lane 12 , Lovell WY 82431-9537. 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, Ali E can be contacted via phone (307) 548-5201.

Contact Information

Primary practice address
1115 Lane 12 Lovell WY 82431-9537
Phone: (307) 548-5201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F01200522 New Mexico

Profile Details

NPI number 1558993261
LBN Legal business name Wagner, Ali E
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Jun 25th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558993261 NPPES
Other F01200522 AANP

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