Darrah A Wagner in Bangor - Psychiatric/mental Health
Darrah A Wagner - NPI 1427099688
Darrah A Wagner is a Psychiatric/mental Health in Bangor, Maine. Darrah A Wagner practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Darrah A Wagner is 1427099688. The last update date is 2011-05-04.
Darrah A Wagner's current location address is 29 Franklin St, Bangor, Maine. You can contact this provider via phone number 2079423816 and fax number 2075614725. The mailing address for Darrah A Wagner is 29 Franklin St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrah A Wagner |
|---|---|
| Address | 29 Franklin St, Bangor, Maine |
| Phone Number | 2079423816 |
| Fax Number | 2075614725 |
| Sole Proprietor | N |
| Credentials | LCSW,RN |
NPI Number Detail
| NPI Number | 1427099688 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2011-05-04 |
Provider Mailing Address Detail
| Address | 29 Franklin St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014909 |
| Phone Number | 2079423816 |
| Fax Number | 2075614725 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 163Wp0808X |
| Licence No | R026710 |
|
Definition: A registered nurse who cares for patients with mental health disorders and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98304 | ME | ANTHEM LEGACY - LCSW | |
| 431984999 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Darrah A Wagner?
The Darrah A Wagner has been issued the NPI (National Provider Identifier) 1427099688 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Darrah A Wagner is physically located?
The Darrah A Wagner is situated at the following address: 29 Franklin St, Bangor, ME 44014909.
What is the Darrah A Wagner's area of specialization and corresponding taxonomy classification?
The Darrah A Wagner's specialty field is Psychiatric/mental Health, and it falls under the taxonomy code 163Wp0808X, which categorizes healthcare providers based on their specialties.
When did Darrah A Wagner receive its 1427099688 assignment?
The Darrah A Wagner was assigned its 1427099688 on 2006-06-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Darrah A Wagner most recently updated or revised?
The information pertaining to Darrah A Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-04.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM