Individual
KALEIGH ANNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
5024 CALLAN DR, LEWISTON, NY 14092-2010
(716) 425-6008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
753199-01
NY
Other
Enumeration date
03/03/2025
Last updated
05/27/2025
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