Wagner, Gretchen
Wagner, Gretchen is an sole proprietor health care provider with primary practice located at 2088 Milwaukee Ave Ste 1 , Burlington WI 53105-7790. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wagner, Gretchen can be contacted via phone (262) 757-4131.Contact Information
Primary practice address
2088 Milwaukee Ave Ste 1
Burlington WI 53105-7790
Phone: (262) 757-4131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9090-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9090-33 | Wisconsin |
Profile Details
| NPI number | 1881151157 |
|---|---|
| LBN Legal business name | Wagner, Gretchen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2019 |
| Last updated | Oct 16th, 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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