MISS ELIZABETH ANN WAGNER (NPI# 1386092336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386092336 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH ANN WAGNER |
| Other Name | ELIZABETH ANN MILLER |
| Credential | AGPCNP-BC |
| Practice Address |
222 S Woods Mill Rd Ste 500n Chesterfield MO 63017-3640 |
| Mailing Address |
1339 Park Meadow Dr Fenton MO 63026-3065 |
| Practice Telephone | 3142056699 |
| Mailing Telephone | 3146777492 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2015022688 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215290465 | Elizabeth Ann Wagner | Music Therapist | 200 E. Curry Rd, 307c, Tempe, AZ 85281 | 2012-06-22 |
| 1104095306 | Elizabeth Forsythe Wagner | Physical Therapist | 11590 W Bernardo Ct Ste 100, San Diego, CA 92127-1624 | 2008-02-21 |
| 1134302565 | Elizabeth Wagner | Nutritionist | 1224 10th St Ste 207, Coronado, CA 92118-3420 | 2007-12-07 |
| 1306062922 | Elizabeth Wagner | Counselor | 105 N Fair St, Champaign, IL 61821 | 2007-04-18 |
| 1285270512 | Elizabeth Clair Wagner | Behavior Technician | 8815 S Tacoma Way Ste 122, Lakewood, WA 98499-7011 | 2019-11-21 |
| 1174096481 | Elizabeth Wagner | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-01-09 |
| 1689158297 | Elizabeth Bramlish Wagner | Social Worker | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2018-09-19 |
| 1003392044 | Elizabeth Bailey Wagner | Occupational Therapist | 7161 W Q Ave, Kalamazoo, MI 49009-5951 | 2018-07-12 |
| 1831629336 | Elizabeth Stanton Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-15 |
| 1568822559 | Elizabeth Wagner | Community Health Worker | 8771 Westpointe Dr, Indianapolis, IN 46231-1169 | 2016-03-03 |
| Street Address |
222 S WOODS MILL RD STE 500N |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407084593 | Brian Walter Kaebnick | Internal Medicine | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017 | 2009-06-26 |
| 1760798508 | Kimberly A Brune Shrum | Nurse Practitioner | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017-3640 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597840 | Patricia Hee Huebner | Nurse Practitioner | 15450 S Outer 40 Rd, Chesterfield, MO 63017-2066 | 2018-02-05 |
| 1073098117 | Alecia Brewer | Nurse Practitioner | 1585 Woodlake Dr Ste 111, Chesterfield, MO 63017-5740 | 2018-09-25 |
| 1992217020 | Shane D Parish | Nurse Practitioner | 1585 Woodlake Dr Ste 111, Chesterfield, MO 63017-5740 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
| 1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
| 1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
| 1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
| 1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on MISS ELIZABETH ANN 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.