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Individual

MS. SARAH RUTH WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3301 C ST, SACRAMENTO, CA 95816-3300
(916) 733-3390
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1290
(650) 493-5000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95010666
CA
363LA2200X
Adult Health Nurse Practitioner
95010666
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95010666
CA
363LG0600X
Gerontology Nurse Practitioner
95010666
CA

Other

Enumeration date
01/10/2019
Last updated
03/27/2023
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