Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAIR WAGNER
Active Sole ProprietorBLAIR WAGNER is a Bus healthcare provider located in SLIDELL, Louisiana. NPI 1053088005 is currently active in the NPPES registry. Verify at CMS.
Bus · SLIDELL, LA
Registration Details
- NPI Number
- 1053088005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2021 (4.9645729276687 yrs)
- Last Updated
- Aug 26, 2021
- License
-
009605995 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 MAGNOLIA ST # BSLIDELL, LA, 704608821Browse LA providers · Browse ZIP 70460
- Phone
- 5044003896
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. VANESSA MOORE | — | 1831321512 |
| MRS. CORTNEA DOUGLAS ROSS | — | 1366820995 |
| DEMETRIA CRYER | — | 1629447818 |
| DORNECIA ROBINSON | — | 1275065187 |
| MRS. PETRINA PETERS CHESTER | — | 1013492172 |
| MARCEL WHITE | — | 1396210613 |
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.