Donna Marsha Wagner
Nurse Practitioner - Primary Care
10 Dearborn Rd
Peabody
, Massachusetts 01960-8836
Donna Marsha Wagner
Nurse Practitioner - Primary Care
10 Dearborn Rd
Peabody
, Massachusetts 01960-8836
(978) 998-6821
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Donna Marsha Wagner
- 10 Dearborn Rd
- Peabody, MA
- Zip : 01960-8836
- Phone : (978) 998-6821
Second Address
- Donna Marsha Wagner
- 10 Dearborn Rd
- Peabody, MA
- Zip : 01960-8836
- Phone : (978) 998-6821
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | AG0715073 | AL |
National Provider Identifier
| NPI | 1053781708 |
|---|---|
| Provider Name | Donna Marsha Wagner |
| First Address | Peabody, MA 01960-8836 |
| Second Address | Peabody, MA 01960-8836 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2015 |
| Last Update Date | 06/10/2015 |
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.