Wagner, Laura L.

Wagner, Laura L. is an individual health care provider with primary practice located at 2810 Crossroads Dr , Madison WI 53718-7942. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wagner, Laura L. can be contacted via phone (608) 819-0033.

Contact Information

Primary practice address
2810 Crossroads Dr Madison WI 53718-7942
Phone: (608) 819-0033
Fax: (608) 819-0048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1352-033 Wisconsin

Profile Details

NPI number 1356555742
LBN Legal business name Wagner, Laura L.
Credentials APRN, BC, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Dec 16th, 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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