Individual provider · Type 1 NPI
Melissa Wagner, AGACNP-BC
Critical Care Medicine Nurse Practitioner · Baltimore, MD
NPI number
1356891105
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
1402 Banavie Ter W
Bel Air, MD 21015-5780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | R174093 (MD) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1356891105
Melissa Wagner, AGACNP-BC's National Provider Identifier is 1356891105, issued on Oct 5, 2016. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Baltimore, MD. The record was last updated on Oct 5, 2016.