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

TANYA MARIE WAGNER, CRNP

Active

TANYA MARIE WAGNER, CRNP is a Family Nurse Practitioner healthcare provider located in PINE GROVE, Pennsylvania. NPI 1659145480 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PINE GROVE, PA

Registration Details

NPI Number
1659145480
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2023 (2.7330382757847 yrs)
Last Updated
Feb 23, 2024
License
SP029206 (PA)

Practice Information

Address
121 S TULPEHOCKEN ST
PINE GROVE, PA, 179631217
Browse PA providers · Browse ZIP 17963
Phone
5703452345
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PINE GROVE, PA

Name Credential NPI
MR. DEBRA M HALUPA NP 1104810647
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.