Kristine Lee Wagner in Plantation - Surgical
Kristine Lee Wagner - NPI 1871656462
Kristine Lee Wagner is a Surgical in Plantation, Florida. Kristine Lee Wagner practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kristine Lee Wagner is 1871656462. The last update date is 2023-08-08.
Kristine Lee Wagner's current location address is 8251 W Broward Blvd, Plantation, Florida. You can contact this provider via phone number 9544759535. The mailing address for Kristine Lee Wagner is 8251 W Broward Blvd, Plantation, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Lee Wagner |
|---|---|
| Address | 8251 W Broward Blvd, Plantation, Florida |
| Phone Number | 9544759535 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1871656462 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | 8251 W Broward Blvd |
|---|---|
| City | Plantation |
| State | Florida (FL) |
| Post Code | 333242703 |
| Phone Number | 9544759535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA 9101686 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kristine Lee Wagner?
The Kristine Lee Wagner has been issued the NPI (National Provider Identifier) 1871656462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kristine Lee Wagner's facilities are geographically located?
The facilities of Kristine Lee Wagner are physically situated at the following location: 8251 W Broward Blvd, Plantation, FL, 333242703.
What is Kristine Lee Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristine Lee Wagner's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871656462 to Kristine Lee Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1871656462 to Kristine Lee Wagner on 2006-12-18.
When was the information related to Kristine Lee Wagner most recently updated or refreshed?
The details pertaining to the Kristine Lee Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-08.
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