MS. ANNALIESE O WAGNER (NPI# 1043874571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043874571 |
| Entity Type | Individual |
| Full Name | MS. ANNALIESE O WAGNER |
| Credential | DNP, FNP-C |
| Practice Address |
1 Science Ct Madison WI 53711-1055 |
| Mailing Address |
15624 Hickory Rd Tomah WI 54660-5345 |
| Practice Telephone | 6082846360 |
| Mailing Telephone | 6083438974 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 0254161 | 05 |
| Street Address |
1 SCIENCE CT |
| City | MADISON |
| State | WI |
| Zip Code | 53711-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558900134 | Christine Krueger | Occupational Therapist | 1 Science Ct, Madison, WI 53711-1055 | 2019-12-31 |
| 1033607122 | Kirsten Pollock | Social Worker | 1 Science Ct, Madison, WI 53711-1055 | 2018-04-25 |
| 1205368271 | Katarina Spelter | Dietitian, Registered | 1 Science Ct, Madison, WI 53711-1055 | 2017-03-29 |
| 1538542527 | Caitlin Callaghan | Social Worker | 1 Science Ct, Madison, WI 53711-1055 | 2015-07-08 |
| 1497048235 | Emilia Ruiz | Internal Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2011-05-26 |
| 1699905679 | Rachna Tiwari | Family Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2009-07-23 |
| 1649400060 | Aimee C Walsh | Internal Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2009-07-20 |
| 1750541124 | Ayesha Bashir | Internal Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2008-06-10 |
| 1861552119 | Leif Lamont Paulsen | Family Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2006-12-09 |
| 1114000312 | Sarah S Dorsey | Internal Medicine | 1 Science Ct, Madison, WI 53711-1055 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1548713332 | Wellness for Life | Clinic/Center | 630 Broadway St Ste 2a, Madison, IN 47250-3310 | 2016-07-27 |
| 1871863050 | Patrick J Oneill M.d., P.C. | Clinic/Center | 104 Spenryn Dr, Madison, AL 35758-1890 | 2012-01-05 |
| 1003191867 | Gluckstadt Special Care Clinic | Clinic/Center | 1716 Highway 51 Ste M, Madison, MS 39110-5020 | 2011-10-12 |
| 1104071836 | W Kevin Britt M.d. LLC | Clinic/Center | 1801 Clifty Drive, Madison, IN 47250-1627 | 2008-11-21 |
| 1366057986 | Avalon Family Care LLC | Clinic/Center | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2020-09-10 |
| 1447868757 | Advent Health LLC | Clinic/Center | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 | 2020-07-22 |
| Find all providers in MADISON | ||||
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| 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.