Sheron A. Wagner
Nurse Practitioner - Neonatal
1500 S Main St
Fort Worth
, Texas 76104-4917
Sheron A. Wagner
Nurse Practitioner - Neonatal
1500 S Main St
Fort Worth
, Texas 76104-4917
(214) 590-8487
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Sheron A. Wagner
- Po Box 660599
- Dallas, TX
- Zip : 75266-0599
- Phone : (214) 590-8487
Second Address
- Sheron A. Wagner
- 1500 S Main St
- Fort Worth, TX
- Zip : 76104-4917
- Fax : (817) 702-1405
- Phone : (817) 702-1166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 795013 | TX |
| N | 363LN0000X | Nurse Practitioner - Neonatal | AP119908 | TX |
National Provider Identifier
| NPI | 1194021931 |
|---|---|
| Provider Name | Sheron A. Wagner |
| First Address | Dallas, TX 75266-0599 |
| Second Address | Fort Worth, TX 76104-4917 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2011 |
| Last Update Date | 09/12/2020 |
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.