Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. OLIVIA C. VAN WAGNER, MA
Active Sole ProprietorMS. OLIVIA C. VAN WAGNER, MA is a Audiologist healthcare provider located in EWING, New Jersey. NPI 1861643314 is currently active in the NPPES registry. Verify at CMS.
Audiologist · EWING, NJ
Registration Details
- NPI Number
- 1861643314
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2008 (17.91312897882 yrs)
- Last Updated
- Mar 14, 2018
- Licenses
-
25MG000646000 (NJ)41YA00025500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
860 LOWER FERRY RD STE 2EWING, NJ, 086283516Browse NJ providers · Browse ZIP 08628
- Phone
- 6092450006
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Audiologist
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.