Ellen A Wagner in Southampton - Nurse Anesthetist, Certified Registered
Ellen A Wagner - NPI 1568408789
Ellen A Wagner is a Nurse Anesthetist, Certified Registered in Southampton, New York. Ellen A Wagner practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Ellen A Wagner is 1568408789. The last update date is 2023-07-21.
Ellen A Wagner's current location address is 265 Herrick Road, Southampton, New York. You can contact this provider via phone number 6317268350 and fax number 6317268519. The mailing address for Ellen A Wagner is 265 Herrick Road, Southampton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen A Wagner |
|---|---|
| Address | 265 Herrick Road, Southampton, New York |
| Phone Number | 6317268350 |
| Fax Number | 6317268519 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1568408789 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
| Address | 265 Herrick Road |
|---|---|
| City | Southampton |
| State | New York (NY) |
| Post Code | 11968 |
| Phone Number | 6317268350 |
| Fax Number | 6317268519 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 3472891 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00164249 | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ellen A Wagner?
The Ellen A Wagner has been issued the NPI (National Provider Identifier) 1568408789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ellen A Wagner's facilities are situated?
The facilities of Ellen A Wagner are physically located at the following address: 265 Herrick Road, Southampton, NY, 11968.
What is the Ellen A Wagner's area of specialization and corresponding taxonomy classification?
The Ellen A Wagner's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568408789 to Ellen A Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1568408789 to Ellen A Wagner on 2006-06-22.
As of what date were the Ellen A Wagner's details last updated?
The information pertaining to the Ellen A Wagner, including its address, specialty, and other details, was most recently updated on 2023-07-21.