LAURA WAGNER (NPI# 1336441765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336441765 |
| Entity Type | Individual |
| Full Name | LAURA WAGNER |
| Credential | ARNP |
| Practice Address |
1700 Cooper Point Road Sw Ste C-4 Olympia WA 98502 |
| Practice Telephone | 3605150342 |
| Practice Fax Number | 3603380502 |
| Mailing Telephone | 3605150342 |
| Mailing Fax Number | 3603380502 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60190973 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216332 | Laura Beth Wagner | Physician Assistant | 14 Deerwood Dr, Clark, NJ 07066-2817 | 2012-09-07 |
| 1679877302 | Laura Ann Wagner | Specialist | 8129 Wheeler Dr, Orland Park, IL 60462-4928 | 2011-01-10 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| 1033269329 | Laura J Wagner | Social Worker | 1100 Cesery Blvd Ste 11, Jacksonville, FL 32211-5656 | 2007-01-11 |
| 1710507223 | Laura Michelle Wagner | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-2218 | 2020-04-24 |
| 1700423258 | Laura Ann Wagner | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2019-12-03 |
| 1255891578 | Laura Lynn Wagner | Pharmacist | 744 Hwy 270 East, Mount Ida, AR 71957 | 2019-03-22 |
| 1679079719 | Laura Ann Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-05 |
| 1679076285 | Laura Katherine Wagner | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2018-03-10 |
| 1720586936 | Laura Lee Wagner | Counselor | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2018-01-23 |
| Street Address |
1700 COOPER POINT ROAD SW STE C-4 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353719 | Boyd Cowan, LLC | Nurse Practitioner | 209 4th Ave E Ste 214, Olympia, WA 98501-6969 | 2019-02-27 |
| 1760811475 | Psychiatric Services of Olympia Pllc | Nurse Practitioner | 2114 Caton Way Sw, 201, Olympia, WA 98502-1177 | 2013-11-04 |
| 1992886956 | Jennifer Ann Clingenpeel | Nurse Practitioner | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2006-10-18 |
| 1316574056 | Tausha Mccarthy | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2020-03-24 |
| 1669016093 | Tracie Ross | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2019-10-29 |
| 1952958803 | Genuine Healthcare, Pllc | Nurse Practitioner | 1800 Cooper Point Rd Sw Ste 19, Olympia, WA 98502-1179 | 2019-08-23 |
| 1578039749 | Melissa Jo Gallardo | Nurse Practitioner | 225 State Ave Ne, Olympia, WA 98501-6951 | 2018-10-15 |
| 1952897373 | West Olympia Psychiatry Pllc | Nurse Practitioner | 924 7th Ave Se, Olympia, WA 98501-1548 | 2018-07-09 |
| 1124400783 | Diana Liebner | Nurse Practitioner | 3857 Martin Way E, Olympia, WA 98506-5268 | 2015-06-19 |
| 1700267374 | Amy Lorraine Heckler | Nurse Practitioner | 3030 Limited Ln Nw, Olympia, WA 98502-2704 | 2015-06-09 |
| Find all providers in OLYMPIA | ||||
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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.