Individual
RITA R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MS, RN, CNM
Contact information
Practice address
200 WEST ARBOR DRIVE, MC 8612, SAN DIEGO, CA 92103-8612
(619) 543-5350
(619) 473-3014
Mailing address
300 W 55TH ST, 3H, NEW YORK, NY 10019-5151
(209) 480-0774
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNMW1654
CA
176B00000X
Midwife
Primary
F001398-1
NY
Other
Enumeration date
12/19/2006
Last updated
01/25/2013
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