Carole Eaton Wagner in Humboldt - Family
Carole Eaton Wagner - NPI 1821085879
Carole Eaton Wagner is a Family in Humboldt, Arizona. Carole Eaton Wagner practices all healthcare services and medical treatments related to Family. The NPI Number for Carole Eaton Wagner is 1821085879. The last update date is 2010-10-26.
Carole Eaton Wagner's current location address is Po Box 206, Humboldt, Arizona. You can contact this provider via phone number 9286325550. The mailing address for Carole Eaton Wagner is Po Box 206, Humboldt, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carole Eaton Wagner |
|---|---|
| Address | Po Box 206, Humboldt, Arizona |
| Phone Number | 9286325550 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1821085879 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2010-10-26 |
Provider Mailing Address Detail
| Address | Po Box 206 |
|---|---|
| City | Humboldt |
| State | Arizona (AZ) |
| Post Code | 863290206 |
| Phone Number | 9286325550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN036104 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Carole Eaton Wagner by the Centers for Medicare & Medicaid Services?
The Carole Eaton Wagner has been issued the NPI (National Provider Identifier) 1821085879. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carole Eaton Wagner?
The Carole Eaton Wagner is physically situated at Po Box 206, in the city of Humboldt, state of AZ, with the postal code 863290206.
What is Carole Eaton Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carole Eaton Wagner is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821085879 to Carole Eaton Wagner?
The Centers for Medicare & Medicaid Services assigned the 1821085879 to Carole Eaton Wagner on 2005-10-04.
As of what date were the details related to Carole Eaton Wagner most recently updated or revised?
The information pertaining to Carole Eaton Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-26.
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