Laurie A Wagner CRNA

NPI 1063480879 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063480879
Gender Female
Enumeration Date 03/08/2006
Last Updated 07/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4401 MASTHEAD ST NE
SUITE 120
ALBUQUERQUE NM, 87109-4493, US
Phone (505) 243-7729
Fax (505) 243-4804
Business Location
PO BOX 30585
ALBUQUERQUE NM, 87190-0585, US
Phone (505) 243-7729
Fax (505) 243-4804
Toxanomy
Taxonomy Code 367500000X
License State New Mexico
License Number R32370
Remove 1063480879 NPI Number
 

According to our database, Laurie A Wagner CRNA NPI is 1063480879, taxonomy code is 367500000X and license number is R32370, license state is located at New Mexico. Laurie A Wagner CRNA physically located at 4401 Masthead St Ne, Albuquerque NM, 87109-4493. NPI Number Laurie A Wagner CRNA has the Individual type.

Sponsored links

1063480879 NPI number is provided on an as is basis without warranty of any kind. 1063480879 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie A Wagner CRNA are for informational purposes only.