CHERYL ANNE WAGNER (NPI# 1023444049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023444049 |
| Entity Type | Individual |
| Full Name | CHERYL ANNE WAGNER |
| Credential | ARNP |
| Practice Address |
7600 E Florentine Rd Prescott Valley AZ 86314-1295 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 9287721610 |
| Mailing Telephone | 6023516986 |
| Mailing Fax Number | 6022658533 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
227591 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 818 W 1st St, Monticello, IA 523101310 | 3198441119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956239 | Cheryl Lynn Wagner | Specialist | 300 Wren St, Sacandaga School, Scotia, NY 12302 | 2017-08-01 |
| 1609927409 | Cheryl L. Wagner | Nurse Practitioner | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-16 |
| 1447348420 | Cheryl A Wagner | Occupational Therapist | 1331 E 4th St, Ottawa, OH 45875-1545 | 2006-10-11 |
| Street Address |
7600 E FLORENTINE RD |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578712261 | Kathleen L. Baker | Counselor | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2008-09-17 |
| 1184125403 | Barbara Beck | Counselor | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2018-02-22 |
| 1275907511 | Southwest Behavioral Health Services | Nurse Practitioner | 7600 E Florentine Rd, Suite 201, Prescott Valley, AZ 86314-1295 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226789 | Stacey Lynn Shaw | Nurse Practitioner | 7600 E Florentine Rd Ste 201, Prescott Valley, AZ 86314-1295 | 2017-10-20 |
| 1013514421 | Todd A Adams | Nurse Practitioner | 3343 N Windsong Dr, Prescott Valley, AZ 86314-1213 | 2020-10-08 |
| 1770092496 | Linda Anne Bosse | Nurse Practitioner | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2017-09-26 |
| 1275907511 | Southwest Behavioral Health Services | Nurse Practitioner | 7600 E Florentine Rd, Suite 201, Prescott Valley, AZ 86314-1295 | 2015-11-24 |
| 1174916472 | Chyllia Dixon | Nurse Practitioner | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2015-03-11 |
| 1871859413 | Susan Lynne Frost | Nurse Practitioner | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2012-04-09 |
| 1487845558 | Susan Ann Cosgrove | Nurse Practitioner | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on CHERYL ANNE WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.