Individual provider · Type 1 NPI

Ruth Hattie Wagner, CRNP

Nurse Practitioner · Mobile, AL

NPI number 1821642687 Active

Practice location

3715 Dauphin St Ste 4400
Mobile, AL 36608-1727

Fax (251) 607-7696

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-087424 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821642687

Ruth Hattie Wagner, CRNP's National Provider Identifier is 1821642687, issued on Jul 30, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mobile, AL. The record was last updated on Jul 30, 2019.