Individual
SHEILA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R27309
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093815011
NPI
—
01
—
P00190660
RAILROAD MEDICARE
ND
Enumeration date
09/22/2006
Last updated
02/15/2019
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