Doctor Name: | DR. HANNAH JEAN WAGNER |
NPI Number: | 1316319668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, FNP-C |
License Number: | SP015241 |
Business Practice Address: | 100 Stoops Dr Suite 240 Monongahela, PA - 150633553 |
Business Phone Number: | 7244834282 |
Business Fax Number: | 7244834078 |
Mailing Address: | 362 Mountain Rd, ALUM BANK |
State: | PA |
Postal Code: | 155218802 |
Phone Number: | 8149773605 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |