ELENA BELL WAGNER (NPI# 1336250745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336250745 |
| Entity Type | Individual |
| Full Name | ELENA BELL WAGNER |
| Credential | PNP |
| Practice Address |
23 Durham Rd Suite 303 Freeport ME 04032-6795 |
| Practice Telephone | 2078694002 |
| Practice Fax Number | 2078694077 |
| Mailing Telephone | 2078694002 |
| Mailing Fax Number | 2078694077 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R039532 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP141083 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0050-03139 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351970 | Elena Michelle Wagner | Obstetrics & Gynecology | 1100 Ninth Ave, X8-gyn, Seattle, WA 98101-2756 | 2013-03-28 |
| Street Address |
23 DURHAM RD SUITE 303 |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164757738 | Pauline Karen Mills | Pediatrics | 23 Durham Rd, Freeport, ME 04032-6795 | 2009-10-15 |
| 1770818817 | Heather W Hyatt | Social Worker | 23 Durham Rd, Freeport, ME 04032-6795 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445846 | Bright Star Pediatric and Adolecent Center | Nurse Practitioner | 75 Bay Grove Blvd, Freeport, FL 32439-1725 | 2015-08-24 |
| 1972691707 | Kathleen Ann Devarso | Nurse Practitioner | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
| 1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
| 1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
| 1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
| 1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
| 1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.