Wagner, Laura
Wagner, Laura is an individual health care provider with primary practice located at 105 W Stone Dr Ste 1F , Kingsport TN 37660-3365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wagner, Laura can be contacted via phone (423) 230-2420.Contact Information
Primary practice address
105 W Stone Dr Ste 1F
Kingsport TN 37660-3365
Phone: (423) 230-2420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA5304 | Tennessee |
Profile Details
| NPI number | 1013628262 |
|---|---|
| LBN Legal business name | Wagner, Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2022 |
| Last updated | Jun 21st, 2024 - about 2 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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