Individual
CHRISTINE PLASIC-VAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(717) 273-8871
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102747150
—
PA
01
—
12408945
CAQH
—
01
—
RN212931L
STATE LICENSE - RN
PA
01
—
SP010192
STATE LICENSE - CRNP
PA
Enumeration date
06/04/2012
Last updated
08/07/2023
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