COLLEEN M WAGNER

CEDAR KNOLLS, NJ
NPI1316310568
Former NameCOLLEEN M GELLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ00855900)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F310566)
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00855900)
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY  F310566)
363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ00855900)
Enumeration Date2015-11-10
Last Update Date2023-02-22
Business Address
COLLEEN M WAGNER A-GNP-C
14 RIDGEDALE AVE STE 103
CEDAR KNOLLS, NJ 07927-1106
Phone number: 973-295-6335
Mailing Address
COLLEEN M WAGNER A-GNP-C
14 RIDGEDALE AVE STE 103
CEDAR KNOLLS, NJ 07927-1106
Phone number: 973-295-6335