Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELENA BELL WAGNER, PNP
ActiveELENA BELL WAGNER, PNP is a Pediatric Nurse Practitioner healthcare provider located in FREEPORT, Maine. NPI 1336250745 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · FREEPORT, ME
Registration Details
- NPI Number
- 1336250745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.916937654621 yrs)
- Last Updated
- May 13, 2016
- Licenses
-
R039532 (ME)0050-03139 (NC)CNP141083 (ME)
Practice Information
- Address
-
23 DURHAM RDSUITE 303FREEPORT, ME, 040326795Browse ME providers · Browse ZIP 04032
- Phone
- 2078694002
- Fax
- 2078694077
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
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.