Individual provider · Type 1 NPI
Elizabeth A. Wagner, NP
Family Nurse Practitioner · Green Bay, WI
NPI number
1760793046
Active
Practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Fax (920) 445-7289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4106-33 (WI) |
| Registered Nurse | 163W00000X | 125165-30 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1760793046
Elizabeth A. Wagner, NP's National Provider Identifier is 1760793046, issued on Jul 1, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Feb 20, 2015.