Individual provider · Type 1 NPI
Denise Catherine Wagner, APRN
Pediatric Nurse Practitioner · New Haven, CT
NPI number
1356416747
Active
Practice location
Yale-New Haven Hospital , 20 York Street, Primary Care Center
New Haven, CT 06510
Fax (203) 688-6514
Mailing address
20 York Street Office: Dc 015D, Yale New Haven Hospital
New Haven, CT 06510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0000711 (CT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1356416747
Denise Catherine Wagner, APRN's National Provider Identifier is 1356416747, issued on Nov 21, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Haven, CT. The record was last updated on Aug 12, 2016.