Individual
MS. ANNE L. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
601 ELMWOOD AVENUE, ROCHESTER, NY 14919
(585) 275-6155
Mailing address
257 POST AVENUE, ROCHESTER, NY 14619
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F301023-1
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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