Individual provider · Type 1 NPI

Anthony Mark Wagner, FNP

Family Nurse Practitioner · Maryville, TN

NPI number 1659436830 Active

Practice location

210 Simmons St
Maryville, TN 37801

Fax (865) 983-4518

Mailing address

1400 Centerpoint Blvd Ste 158
Knoxville, TN 37932-1966

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN129889 NP (GA)
Family Nurse Practitioner Primary 363LF0000X11134 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1659436830

Anthony Mark Wagner, FNP's National Provider Identifier is 1659436830, issued on Dec 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, TN. The record was last updated on May 29, 2018.