MR. NICHOLAS R WAGNER


Address: 1000 Lakeview Rd, Suite 4, Clearwater, FL 33756-3475
Phone: 7274625424

MR. NICHOLAS R WAGNER (NPI# 1770801359) 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) 1770801359
Entity Type Individual
Full Name MR. NICHOLAS R WAGNER
Credential ARNP
Practice Address 1000 Lakeview Rd
Suite 4
Clearwater
FL 33756-3475
Practice Telephone 7274625424
Mailing Telephone 7274625424
Enumeration Date 2010-05-06
Last Update Date 2010-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9243050 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1000 LAKEVIEW RD
SUITE 4
City CLEARWATER
State FL
Zip Code 33756-3475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790765089 James Campbell Specialist 1000 Lakeview Rd, Suite 3, Clearwater, FL 33756-3475 2006-01-20
1558665166 Pri X-ray, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1000 Lakeview Rd, Clearwater, FL 33756-3475 2010-12-23
1134319957 Florida Cardiovascular Surgeons Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 1000 Lakeview Rd, Suite 3, Clearwater, FL 33756-3475 2007-07-27
1487794848 Barr Prosthetics & Orthotics, Pa Prosthetic/Orthotic Supplier 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 2007-02-07
1841202264 John A Moyer Family Medicine 1000 Lakeview Rd, Suite #1, Clearwater, FL 33756-3475 2006-08-13
1629087028 J. Martin Klein Family Medicine 1000 Lakeview Rd, Suite #1, Clearwater, FL 33756-3475 2006-08-05
1033123740 James D Barr Specialist 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 2006-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1124672670 Kayla Marie Flook Counselor 1106 Druid Rd S Suite 201, Clearwater, FL 33756 2019-08-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1023509965 Judith Lynn Pierce Nurse Practitioner 1536 Nursery Rd, Clearwater, FL 33756-2319 2018-05-26
1780191551 Dana Schnell Nurse Practitioner 29605 Us Highway 19 N Ste 170, Clearwater, FL 33761-1538 2018-01-03
1154850683 Laronda Lynn Lang Nurse Practitioner 3165 N Mcmullen Booth Rd Bldg H, Clearwater, FL 33761-2034 2017-06-08
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Competitor

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City CLEARWATER
Zip Code 33756

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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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