KIRSTEN WAGNER


Address: 10 Lightning Trl, Fairfield, PA 17320-9748
Phone: 7177945068

KIRSTEN WAGNER (NPI# 1114390242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114390242
Entity Type Individual
Full Name KIRSTEN WAGNER
Practice Address 10 Lightning Trl
Fairfield
PA 17320-9748
Practice Telephone 7177945068
Enumeration Date 2015-11-11
Last Update Date 2015-11-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KIRSTEN WAGNER

NPI Name Taxonomy Address Enumeration
1518925999 Kirsten E Wagner Psychiatry & Neurology 6067 Piney Grove Way, Gainesville, VA 20155-6671 2006-05-03
1023507472 Kirsten Suzanne Wagner Speech-Language Pathologist 3035 Wooster Rd, Rocky River, OH 44116 2018-05-01
1477948511 Kirsten Wagner Ophthalmology 4151 Foothill Rd, Santa Barbara, CA 93110-1110 2015-04-06
1275648149 Kirsten U Wagner Nurse Practitioner 4314 W Slauson Ave, Los Angeles, CA 90043 2006-08-20

Office Location

Street Address 10 LIGHTNING TRL
City FAIRFIELD
State PA
Zip Code 17320-9748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275147647 Rebecca Diane Yeater Family Medicine Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 2020-09-03
1659417822 Edgardo Fajardo Enriquez Dentist 34 Steelman Street, Fairfield, PA 17320 2007-01-29
1740286053 Fairfield Community Fire Company Inc Ambulance 106 Steelman St, Fairfield, PA 17320 2005-06-22
1649500810 Brenda Riley-gipe Physical Therapist 225 Emory Ln, Fairfield, PA 17320-7831 2010-01-11
1609482223 Kelly Kurtz Social Worker 111 Janet Trl, Fairfield, PA 17320-8174 2020-09-18
1639731516 Bob Harry Reid Internal Medicine 48 Lakeside Trl, Fairfield, PA 17320-8222 2019-07-01
1629030796 Fairfield Medical Center Inc Family Medicine 4 Field Trl, Fairfield, PA 17320-8241 2006-04-04
1083971709 John David Straw IIi Hearing Instrument Specialist 12 Water St, Fairfield, PA 17320-8252 2012-04-19
1962963397 Olivia Leigh Brandt Physician Assistant 4 Skyline Trl, Fairfield, PA 17320-8560 2019-03-28
1518503689 Greta Jones Student in an Organized Health Care Education/Training Program 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 2019-11-22
Find all providers in zip 17320

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407466493 Lizbeth Padilla Student in an Organized Health Care Education/Training Program 1125 Hayes St, Fairfield, CA 94533-4707 2020-08-04
1003426024 Rebecca M Dance Student in an Organized Health Care Education/Training Program 5752 David Pl, Fairfield, OH 45014-3508 2020-08-04
1942819826 Lauren J Cotton Student in an Organized Health Care Education/Training Program 1073 North Benson Road, Fairfield, CT 06824 2020-07-28
1396368585 Sadek Debwan Student in an Organized Health Care Education/Training Program 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 2020-05-21
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1023647989 Maggie Giambalvo Student in an Organized Health Care Education/Training Program 752 Towne House Rd, Fairfield, CT 06824-1819 2020-04-03
1518503689 Greta Jones Student in an Organized Health Care Education/Training Program 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 2019-11-22
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1427600550 Nancy Ivette Bocanegra Student in an Organized Health Care Education/Training Program 1607 Clay St, Fairfield, CA 94533-3808 2019-07-09
1013481316 Raquel Marie Divincenzo Student in an Organized Health Care Education/Training Program 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 2019-01-20
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 17320

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Dataset Information

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.

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