Individual provider · Type 1 NPI

Nicholas Brennan Wagner, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1003583642 Active

Practice location

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Call (813) 974-2201 Map

Other practice locations

  • 1550 College St, Macon, GA 31207-1500 · (478) 301-2600

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003583642

Nicholas Brennan Wagner, MD's National Provider Identifier is 1003583642, issued on Aug 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on May 3, 2022.