Individual provider · Type 1 NPI

Nicole Elizabeth Wagner, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1013667013 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Call (949) 351-0330 Map

Mailing address

200 E 66th St Apt C904
New York, NY 10065-0163

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 1013667013

Nicole Elizabeth Wagner, MD's National Provider Identifier is 1013667013, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 24, 2022.