Individual provider · Type 1 NPI

Andrea Wagner, NP

Nurse Practitioner · Fenton, MI

NPI number 1972036960 Active

Practice location

445 N Fenway Dr
Fenton, MI 48430-2666

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704226341 (MI)

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 1972036960

Andrea Wagner, NP's National Provider Identifier is 1972036960, issued on Apr 6, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fenton, MI. The record was last updated on Aug 7, 2018.