Wagner, Teresa Louise

Wagner, Teresa Louise is an individual health care provider with primary practice located at 1350 Lee Blvd , Lehigh Acres FL 33936-4846. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wagner, Teresa Louise can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
1350 Lee Blvd Lehigh Acres FL 33936-4846
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11021462 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11021462 Florida

Profile Details

NPI number 1487375713
LBN Legal business name Wagner, Teresa Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2022
Last updated Mar 6th, 2026 - about 8 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487375713 NPPES
Florida MEDICAID 115849700

Popular Providers