Individual provider · Type 1 NPI

Christine Carol Wagner, NP

Nurse Practitioner · Ann Arbor, MI

NPI number 1457470502 Active

Practice location

1500 East Medical Center Dr, 8th Floor C.s. Mott Childrens Hospital
Ann Arbor, MI 48109-4254

Mailing address

3621 S State St, 700 Kms Place
Ann Arbor, MI 48108

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704094724 (MI)

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 1457470502

Christine Carol Wagner, NP's National Provider Identifier is 1457470502, issued on Mar 28, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 8, 2012.