CYNTHIA WAGNER (NPI# 1861768970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861768970 |
| Entity Type | Individual |
| Full Name | CYNTHIA WAGNER |
| Other Name | CYNTHIA WAGNER AVELLINO |
| Credential | NP |
| Practice Address |
440 E Marshall St Ste 201 West Chester PA 19380-5414 |
| Mailing Address |
440 E Marhsall St Ste 201 West Chester PA 19380-5415 |
| Practice Telephone | (610) 738-2500 |
| Mailing Telephone | (610) 738-2500 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011729 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP011729 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MLHC MEDICARE GROUP AA # | 440771 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144519828 | Cynthia Wagner | Social Worker | 24013 51st Ave, Douglaston, NY 11362-1023 | 2011-04-01 |
| 1962706176 | Cynthia Wagner | Counselor | 3801 Fairfax Dr Ste 61, Arlington, VA 22203-1762 | 2011-01-03 |
| 1487802237 | Cynthia Ann Wagner | Massage Therapist | 407 W 15th St Ste 1, Edmond, OK 73013-3668 | 2008-09-05 |
| 1477853794 | Cynthia Wise Wagner | Speech-Language Pathologist | 330 Brookline Ave, Beth Israel Deaconess Med Center, West Campus, Span 106, Boston, MA 02215-5400 | 2010-11-03 |
| 1346540952 | Cynthia Carter Wagner | Social Worker | 1310 24th Ave S, Nashville, TN 37212-2637 | 2010-10-29 |
| 1114046034 | Cynthia Ellen Wagner | Social Worker | 439 W 97th St, Los Angeles, CA 90003-3968 | 2007-03-29 |
| 1356441174 | Cynthia A Wagner | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-09-22 |
| 1053428532 | Cynthia L Wagner | Occupational Therapist | 310 Smith Ave N Ste 370, Saint Paul, MN 55102-2383 | 2006-08-23 |
| Street Address |
440 E MARSHALL ST STE 201 |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383484 | January M Chaffee-pasquantonio | Nurse Practitioner | 440 E Marshall St Ste 201, West Chester, PA 19380-5414 | 2007-03-13 |
| 1063994119 | Nicholas Jensen | Genetic Counselor, MS | 440 E Marshall St Ste 201, West Chester, PA 19380-5414 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356810097 | Kathleen Marie Boyle | Nurse Practitioner | 1606 Eldridge Dr, West Chester, PA 19380-6458 | 2018-11-23 |
| 1447512033 | Mary Catherine Wollman | Nurse Practitioner | 121 Lydia Ln, West Chester, PA 19382-8482 | 2012-06-11 |
| 1114156148 | Benchmark Health Services LLC | Nurse Practitioner | 9810 Windisch Rd, West Chester, OH 45069-3806 | 2009-07-13 |
| 1285191858 | Nicole Ann Brice | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2019-03-01 |
| 1205388626 | Genevieve L Dugan | Nurse Practitioner | 7675 Wellness Way, West Chester, OH 45069-2509 | 2016-11-02 |
| 1770033599 | Phyllis Nelson | Nurse Practitioner | 7690 Discovery Dr, West Chester, OH 45069-6542 | 2016-10-05 |
| 1467581132 | Ran Zhou | Nurse Practitioner | 9050 Centre Pointe Dr, Suite 400, West Chester, OH 45069-4874 | 2007-03-05 |
| 1588700207 | Rosemarie Macinnis | Nurse Practitioner | 9050 Centre Pointe Dr Ste 400, West Chester, OH 45069-4875 | 2007-01-29 |
| 1093780967 | Theresa Menavich Hoffman | Nurse Practitioner | 700 N Franklin St, West Chester, PA 19380-2334 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on CYNTHIA 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.