Individual
SHANA L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Mailing address
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
142621
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4381
WI
363LF0000X
Family Nurse Practitioner
Primary
4381
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014290
—
WI
Enumeration date
02/18/2011
Last updated
01/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us