Individual provider · Type 1 NPI
Danielle Wagner, APRN
Family Nurse Practitioner · West Hartford, CT
NPI number
1154093664
Active
Practice location
65 Memorial Rd Ste 405
West Hartford, CT 06107-4219
Mailing address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10086 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154093664
Danielle Wagner, APRN's National Provider Identifier is 1154093664, issued on Oct 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Hartford, CT. The record was last updated on Oct 15, 2021.