Wagstrom, Abby
Wagstrom, Abby is an individual health care provider with primary practice located at 1825 Woodwinds Dr , Woodbury MN 55125-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagstrom, Abby can be contacted via phone (651) 232-6700.Contact Information
Primary practice address
1825 Woodwinds Dr
Woodbury MN 55125-2202
Phone: (651) 232-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP 4037 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6516 - 33 | Wisconsin |
Profile Details
| NPI number | 1366827552 |
|---|---|
| LBN Legal business name | Wagstrom, Abby |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Mar 17th, 2018 - about 8 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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