Individual provider · Type 1 NPI

Stacie Wagner, NNP

Physician Assistant · Phoenix, AZ

NPI number 1609895317 Active

Practice location

300 W Clarendon Ave, 375
Phoenix, AZ 85013-3420

Call (602) 277-4161 Map

Fax (602) 274-3394

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2122 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609895317

Stacie Wagner, NNP's National Provider Identifier is 1609895317, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.