Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANASTASIA WAGNER
Active Sole ProprietorANASTASIA WAGNER is a Behavioral Health, Residential healthcare provider located in SAINT PETERSBURG, Florida. NPI 1689085003 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1689085003
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2014 (12.233766425462 yrs)
- Last Updated
- May 20, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
2423 2ND AVE NSAINT PETERSBURG, FL, 337138826Browse FL providers · Browse ZIP 33713
- Phone
- 7275605657
- Fax
- 7273211975
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES HOWARD DEAN | CBA | 1093835910 |
| ISABELLA A RIVERA | — | 1780355420 |
| ANDREW LAWRENCE | — | 1306598099 |
| OMAR SUID | — | 1477243988 |
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.