Monta Wagner is a Family in Sayre, Pennsylvania. Monta Wagner practices all healthcare services and medical treatments related to Family. The NPI Number for Monta Wagner is 1639101363. The last update date is 2021-03-03.
Monta Wagner's current location address is 1 Guthrie Sq, Sayre, Pennsylvania. You can contact this provider via phone number 6077342264 and fax number 7088858585. The mailing address for Monta Wagner is 1 Guthrie Sq, Sayre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monta Wagner |
|---|---|
| Address | 1 Guthrie Sq, Sayre, Pennsylvania |
| Phone Number | 6077342264 |
| Fax Number | 7088858585 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1639101363 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 1 Guthrie Sq |
|---|---|
| City | Sayre |
| State | Pennsylvania (PA) |
| Post Code | 188401625 |
| Phone Number | 6077342264 |
| Fax Number | 7088858585 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 330195 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1267821 | NY | -- | |
| 161355553 | BUSINESS TAX ID |
Post Comment/ Review Below
What is the unique identification code assigned to Monta Wagner by the Centers for Medicare & Medicaid Services?
The Monta Wagner has been issued the NPI (National Provider Identifier) 1639101363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Monta Wagner's facilities are geographically located?
The facilities of Monta Wagner are physically situated at the following location: 1 Guthrie Sq, Sayre, PA, 188401625.
What is Monta Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Monta Wagner's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Monta Wagner receive its 1639101363 assignment from the Centers for Medicare & Medicaid Services?
The Monta Wagner was assigned its 1639101363 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Monta Wagner's information last updated?
The Monta Wagner's information was last updated on 2021-03-03.