Individual provider · Type 1 NPI

Gweneth Wagnon, N.P.

Nurse Practitioner · Long Branch, NJ

NPI number 1457497976 Active

Practice location

300 2nd Ave
Long Branch, NJ 07740-6303

Call (732) 923-7790 Map

Fax (732) 571-4787

Mailing address

PO Box 8000, Dept 601
Buffalo, NY 14267-0002

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NN06687400 (NJ)

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 1457497976

Gweneth Wagnon, N.P.'s National Provider Identifier is 1457497976, issued on Jan 30, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Branch, NJ. The record was last updated on Oct 14, 2011.