Individual provider · Type 1 NPI

Amanda C. Wagner

Certified Registered Nurse Anesthetist · Rolla, MO

NPI number 1164058020 Active

Practice location

1000 W 10th St
Rolla, MO 65401

Fax (573) 341-5611

Mailing address

1050 W 10th St
Rolla, MO 65401-2905

Other practice locations

  • 5645 Main St, Flushing, NY 11355-5045 · (718) 670-2000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XRN9407106 (FL)
Certified Registered Nurse Anesthetist 367500000X786638 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X2024020234 (MO)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

90 other providers at this address

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About NPI 1164058020

Amanda C. Wagner's National Provider Identifier is 1164058020, issued on Mar 22, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Rolla, MO. The record was last updated on Sep 11, 2024.