Wagner, Carole Eaton
Wagner, Carole Eaton is an sole proprietor health care provider with primary practice located at 500 Hwy 89 North Northern Azva Healthcare System, Prescott AZ 86313. 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, Carole Eaton can be contacted via phone (928) 445-4860.Contact Information
Primary practice address
500 Hwy 89 North Northern Azva Healthcare System
Prescott AZ 86313
Phone: (928) 445-4860
Fax: (928) 776-6147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN036104 | Arizona |
Profile Details
| NPI number | 1821085879 |
|---|---|
| LBN Legal business name | Wagner, Carole Eaton |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Oct 26th, 2010 - about 16 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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