MRS. Eileen Roberta Wagner, BSN RN
NPI #1679650584 in Saint James, New York
Provider Information
- NPI Number
- 1679650584
- Entity Type
- Individual
- Name
- MRS. Eileen Roberta Wagner, BSN RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- BSN RN
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 152 NORTHERN BLVD
- City
- Saint James
- State
- New York
- ZIP Code
- 11780-2823
- Phone
- (631) 584-6619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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