ELLEN A WAGNER

SOUTHAMPTON, NY
NPI1568408789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  APRN03496)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  3472891)
Enumeration Date2006-06-22
Last Update Date2023-07-21
Business Address
Ms. ELLEN A WAGNER CRNA
265 HERRICK ROAD
SOUTHAMPTON, NY 11968
Phone number: 631-726-8350
Mailing Address
Ms. ELLEN A WAGNER CRNA
455 TOLL GATE RD PRC AND CREDENTIALING
WARWICK, RI 02886
Phone number: 401-273-0641
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