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 / Home Health 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:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376507053 | NPPES |
| Wisconsin | MEDICAID | 39858300 |
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