Wagner, Lynn Renee

Wagner, Lynn Renee is an individual health care provider with primary practice located at 3300 Academy Ave , Portsmouth VA 23703-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wagner, Lynn Renee can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
3300 Academy Ave Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2021030408 Virginia

Profile Details

NPI number 1295307791
LBN Legal business name Wagner, Lynn Renee
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 5 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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