Ms. Sarah Ruth Wagner
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
3801 Miranda Ave
Palo Alto
, California 94304-1207
Ms. Sarah Ruth Wagner
Nurse Practitioner - Acute Care Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Critical Care Medicine
3801 Miranda Ave
Palo Alto
, California 94304-1207
(408) 679-0940
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Critical Care Medicine
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Sarah Ruth Wagner
- 2441 Le Bain Dr
- San Jose, CA
- Zip : 95130-2115
- Phone : (408) 679-0940
Second Address
- Ms. Sarah Ruth Wagner
- 3801 Miranda Ave
- Palo Alto, CA
- Zip : 94304-1207
- Phone : (650) 493-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | 95010666 | CA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 95010666 | CA |
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95010666 | CA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 95010666 | CA |
National Provider Identifier
| NPI | 1083187165 |
|---|---|
| Provider Name | Ms. Sarah Ruth Wagner |
| First Address | San Jose, CA 95130-2115 |
| Second Address | Palo Alto, CA 94304-1207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
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.