Individual
ANITA M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8485
(865) 541-8727
Mailing address
PO BOX 15010, KNOXVILLE, TN 37901-5010
(865) 541-8485
(865) 541-8727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000010599
TN
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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