Tanya Marie Wagner, CRNP
NPI #1659145480 in Pine Grove, Pennsylvania
Provider Information
- NPI Number
- 1659145480
- Entity Type
- Individual
- Name
- Tanya Marie Wagner, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Nov 13, 2023
- Last Updated
- Feb 23, 2024
Practice Location
- Address
- 121 S TULPEHOCKEN ST
- City
- Pine Grove
- State
- Pennsylvania
- ZIP Code
- 17963-1217
- Phone
- (570) 345-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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