Wagner, Gail T.

Wagner, Gail T. is an individual health care provider with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wagner, Gail T. can be contacted via phone (715) 346-5000.

Contact Information

Primary practice address
900 Illinois Ave Stevens Point WI 54481-3114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1741 Wisconsin

Profile Details

NPI number 1326125691
LBN Legal business name Wagner, Gail T.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 21st, 2015 - about 11 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 1326125691 NPPES
Wisconsin Other 1741 APNP WI STATE LIC
Wisconsin Other 74729 APNP WI STATE LIC

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