Individual provider · Type 1 NPI
Gabrielle Wagner
Family Nurse Practitioner · Philadelphia, PA
NPI number
1639893449
Active
Practice location
800 Walnut St Fl 20
Philadelphia, PA 19107-5176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP025758 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP025758 (PA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1639893449
Gabrielle Wagner's National Provider Identifier is 1639893449, issued on Sep 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 27, 2022.