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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA WAGNER

Active

LAURA WAGNER is a Medical Physician Assistant healthcare provider located in KINGSPORT, Tennessee. NPI 1013628262 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · KINGSPORT, TN

Registration Details

NPI Number
1013628262
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2022 (3.6857527361823 yrs)
Last Updated
Jun 21, 2024
License
PA5304 (TN)

Practice Information

Address
105 W STONE DR STE 1F
KINGSPORT, TN, 376603365
Browse TN providers · Browse ZIP 37660
Phone
4232302420
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in KINGSPORT, TN

Name Credential NPI
MR. WAYNE DAVID DURBIN PA-C 1801981345
BRYANT KIRK FOX P.A. 1568647733
HANNAH RUTH COLLINS PA 1457712473
KELSEY BAILEY HODGES 1356898639
MS. MARIA CHRISTINE BYRD PA-C 1356915011
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.