Erik W Wagner is a Family in Mesa, Arizona. Erik W Wagner practices all healthcare services and medical treatments related to Family. The NPI Number for Erik W Wagner is 1033129150. The last update date is 2019-11-21.
Erik W Wagner's current location address is 4824 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4809694040 and fax number 4808301042. The mailing address for Erik W Wagner is 4824 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erik W Wagner |
|---|---|
| Address | 4824 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4809694040 |
| Fax Number | 4808301042 |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1033129150 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
| Address | 4824 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064676 |
| Phone Number | 4809694040 |
| Fax Number | 4808301042 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | TAP4826 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z233314 | AZ | MEDICARE PTAN | |
| 825839 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Erik W Wagner by the Centers for Medicare & Medicaid Services?
The Erik W Wagner has been issued the NPI (National Provider Identifier) 1033129150, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Erik W Wagner is physically located?
The Erik W Wagner is situated at the following address: 4824 E Baseline Rd, Mesa, AZ 852064676.
What is Erik W Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Erik W Wagner's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date was the 1033129150 assigned to Erik W Wagner?
The Erik W Wagner was issued its 1033129150 on 2006-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Erik W Wagner most recently updated or revised?
The information pertaining to Erik W Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-21.
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