Individual provider · Type 1 NPI
Shela Wagner
Student in an Organized Health Care Education/Training Program · Loveland, CO
NPI number
1578102752
Active
Practice location
2603 North Monroe Ave
Loveland, CO 80538
Mailing address
1300 N 17th Ave
Greeley, CO 80631-9584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1578102752
Shela Wagner's National Provider Identifier is 1578102752, issued on Jan 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loveland, CO. The record was last updated on Jan 5, 2020.