Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ERNESTINE A WAGNER, PA
Active Sole ProprietorMRS. ERNESTINE A WAGNER, PA is a Medical Physician Assistant healthcare provider located in STEVENS POINT, Wisconsin. NPI 1124072889 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · STEVENS POINT, WI
Registration Details
- NPI Number
- 1124072889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2006 (20.233315456836 yrs)
- Last Updated
- Jun 2, 2015
- Licenses
-
1289-23 (WI)978 (WV)0110001577 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2417 POST ROADBUILDING ASTEVENS POINT, WI, 54481Browse WI providers · Browse ZIP 54481
- Phone
- 7156901272
- Fax
- 7155441212
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
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.