Cheryl Anne Wagner
Nurse Practitioner - Psychiatric/Mental Health
7600 E Florentine Rd
Prescott Valley
, Arizona 86314-1295
Cheryl Anne Wagner
Nurse Practitioner - Psychiatric/Mental Health
7600 E Florentine Rd
Prescott Valley
, Arizona 86314-1295
(602) 265-8533
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Cheryl Anne Wagner
- 3450 N 3rd St
- Phoenix, AZ
- Zip : 85012-2331
- Fax : (602) 265-8533
- Phone : (602) 351-6986
Second Address
- Cheryl Anne Wagner
- 7600 E Florentine Rd
- Prescott Valley, AZ
- Zip : 86314-1295
- Phone : (928) 772-1610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 227591 | AZ |
National Provider Identifier
| NPI | 1023444049 |
|---|---|
| Provider Name | Cheryl Anne Wagner |
| First Address | Phoenix, AZ 85012-2331 |
| Second Address | Prescott Valley, AZ 86314-1295 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2013 |
| Last Update Date | 17/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.