Wagner, Elizabeth Marie

Wagner, Elizabeth Marie is an individual health care provider with primary practice located at 2525 Chicago Ave # Ms 324203 , Minneapolis MN 55404-4518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Wagner, Elizabeth Marie can be contacted via phone (126) 813-7336.

Contact Information

Primary practice address
2525 Chicago Ave # Ms 324203 Minneapolis MN 55404-4518
Phone: (126) 813-7336
Fax: (612) 813-7660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 41272234 Illinois

Profile Details

NPI number 1477596468
LBN Legal business name Wagner, Elizabeth Marie
Credentials RN, MSN, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 13th, 2023 - about 3 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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