Wagner-Smith, Michelle
Wagner-Smith, Michelle is an individual health care provider with primary practice located at John D. Dingell Vamc 4646 John R Street, Detroit MI 48201-1916. 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 / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Wagner-Smith, Michelle can be contacted via phone (313) 576-4645.Contact Information
Primary practice address
John D. Dingell Vamc 4646 John R Street
Detroit MI 48201-1916
Phone: (313) 576-4645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704204786 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 4704204786 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704204786 | Michigan |
Profile Details
| NPI number | 1568858793 |
|---|---|
| LBN Legal business name | Wagner-Smith, Michelle |
| Credentials | MSN, AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2015 |
| Last updated | Apr 15th, 2015 - about 11 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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