Wagner, Stephanie A

Wagner, Stephanie A is an individual health care provider with primary practice located at 411 E Chestnut St # Street6 , Louisville KY 40202-1713. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wagner, Stephanie A can be contacted via phone (502) 588-3650.

Contact Information

Primary practice address
411 E Chestnut St # Street6 Louisville KY 40202-1713
Phone: (502) 588-3650
Fax: (502) 588-7852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006717A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71006717A Indiana

Profile Details

NPI number 1811430655
LBN Legal business name Wagner, Stephanie A
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Nov 18th, 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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