ALICE WAGNER (NPI# 1255841524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255841524 |
| Entity Type | Individual |
| Full Name | ALICE WAGNER |
| Credential | RN |
| Practice Address |
2900 Plank Rd Ste 9 Altoona PA 16601-9361 |
| Mailing Address |
319 Weaver Rd Duncansville PA 16635-4302 |
| Practice Telephone | 8149444722 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN512703L | PA | Nursing Service Providers |
| Street Address |
2900 PLANK RD STE 9 |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-9361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311631 | Barbara Ann Patrick | Counselor | 2900 Plank Rd Ste 9, Altoona, PA 16601-9361 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063434 | Gina Miller | Registered Nurse | 1041 W Bridge St Ste B-5, Phoenixville, PA 19460-4342 | 2019-10-08 |
| 1669034336 | Jonathan Breen | Registered Nurse | 207 Northbrook Dr, Media, PA 19063-5124 | 2019-07-02 |
| 1003398058 | Carolyn Gayle Wachtel | Registered Nurse | 100 N. Bellefield Avenue, Pittsburgh, PA 15213 | 2018-09-05 |
| 1912427527 | Rachel Monica Reis | Registered Nurse | 255 S 17th St Ste 2304, Philadelphia, PA 19103-6223 | 2017-06-24 |
| 1003342197 | Eric John Kutay | Registered Nurse | 4531 Northway Rd, Williamsport, PA 17701-8494 | 2017-05-10 |
| 1902154503 | Patricia Grochowina Allen | Registered Nurse | 221 Polo Dr, North Wales, PA 19454-4245 | 2012-08-29 |
| 1144506205 | Lisa Ann Blyth | Registered Nurse | 1080 Wyndsong Dr, York, PA 17403-4492 | 2011-11-02 |
| 1669772513 | Jusufu Sulaiman Gottor | Registered Nurse | Broad and Vine Street, 11th Floor, Philadelphia, PA 19102 | 2010-10-26 |
| 1912160938 | Vicki Lynn Embley | Registered Nurse | 1120 Frances Ave, Lancaster, PA 17601-4563 | 2008-07-09 |
| 1710151964 | Joan Kenerson King | Registered Nurse | 126 Klingerman Rd, Telford, PA 18969-1434 | 2008-04-18 |
| Find all providers with the same taxonomy | ||||
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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.