Individual provider · Type 1 NPI

Ellen Africano Wagner, CRNA

Certified Registered Nurse Anesthetist · Flossmoor, IL

NPI number 1679975411 Active

Practice location

19624 Governors Hwy
Flossmoor, IL 60422-2077

Fax (708) 798-5865

Mailing address

1713 N Vine St
Chicago, IL 60614-5119

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041372498 (IL)
Certified Registered Nurse Anesthetist Primary 367500000X209.012203 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1679975411

Ellen Africano Wagner, CRNA's National Provider Identifier is 1679975411, issued on Sep 24, 2014. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Flossmoor, IL. The record was last updated on Jul 21, 2022.