Wagner, Donna Mae

Wagner, Donna Mae is an individual health care provider with primary practice located at 13705 W Green Meadow Ln , New Berlin WI 53151. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wagner, Donna Mae can be contacted via phone (262) 786-6974.

Contact Information

Primary practice address
13705 W Green Meadow Ln New Berlin WI 53151
Phone: (262) 786-6974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1376507053
LBN Legal business name Wagner, Donna Mae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376507053 NPPES
Wisconsin MEDICAID 39858300

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