MS. Ellen A Wagner, CRNA
NPI #1568408789 in Southampton, New York
Provider Information
- NPI Number
- 1568408789
- Entity Type
- Individual
- Name
- MS. Ellen A Wagner, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Jul 21, 2023
Practice Location
- Address
- 265 HERRICK ROAD
- City
- Southampton
- State
- New York
- ZIP Code
- 11968
- Phone
- (631) 726-8350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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