Wagner, Katherine Ann

Wagner, Katherine Ann is an individual health care provider with primary practice located at 2951 Fulton Ave , Sacramento CA 95821-4909. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wagner, Katherine Ann can be contacted via phone (916) 486-7555.

Contact Information

Primary practice address
2951 Fulton Ave Sacramento CA 95821-4909
Phone: (916) 486-7555
Fax: (916) 486-7557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 21313 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 21313 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21313 California

Profile Details

NPI number 1538446117
LBN Legal business name Wagner, Katherine Ann
Credentials RN, FNP-BC, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Mar 13th, 2014 - about 12 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 1538446117 NPPES
California Other 1538446117 MEDI/MEDI, COMMERCIAL INSURANCE CONTRACTED WITH CLINIC

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