Individual provider · Type 1 NPI
Tricia Wagner, NP
Nurse Practitioner · Travis Afb, CA
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Mailing address
545 Evans Rd
Dixon, CA 95620-4418
Other practice locations
- 545 Evans Rd, Dixon, CA 95620-4418 · (925) 301-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95017980 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1447927751
Tricia Wagner, NP's National Provider Identifier is 1447927751, issued on Aug 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Travis Afb, CA. The record was last updated on Jun 7, 2022.