MS. LAURA L. WAGNER (NPI# 1356555742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356555742 |
Entity Type | Individual |
Full Name | MS. LAURA L. WAGNER |
Credential | APRN, BC, APNP |
Practice Address |
2810 Crossroads Dr Madison WI 53718-7942 |
Practice Telephone | 6088190033 |
Practice Fax Number | 6088190048 |
Mailing Telephone | 6088190033 |
Mailing Fax Number | 6088190048 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2014-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1352-033 | WI | 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 |
1336441765 | Laura Wagner | Nurse Practitioner | 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 | 2010-11-17 |
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 |
2810 CROSSROADS DR |
City | MADISON |
State | WI |
Zip Code | 53718-7942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063953008 | Madison Medical Supplies | Durable Medical Equipment & Medical Supplies | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2017-03-09 |
1215315874 | Home Care Enterprise LLC | Home Health | 2810 Crossroads Dr, Suite 4000, Madison, WI 53718-7942 | 2015-05-14 |
1225416209 | Emma Fashing | Community Health Worker | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2015-05-11 |
1912243288 | Sankofa Behavioral & Community Health, Inc | Counselor | 2810 Crossroads Dr, Suite 4000, Madison, WI 53718-7942 | 2012-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
Find all providers in zip 53718 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881961670 | Antoinette Mctigue | Nurse Practitioner | 65 Fairwood Rd, Madison, NJ 07940-1460 | 2011-11-21 |
1144502337 | Janet Lynn Stephens | Nurse Practitioner | 306 W Due West Ave, Madison, TN 37115-4511 | 2011-09-13 |
1174779805 | Sandra Lynn Galles | Nurse Practitioner | 202 S Park St, Madison, WI 53715-1507 | 2008-08-13 |
1902011463 | Karin Rose Lindgren | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2007-05-10 |
1194830570 | Mary Joan Schoenwetter | Nurse Practitioner | 2500 Overlook Terrace, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 | 2006-08-19 |
1942237292 | Laura S Reaves | Nurse Practitioner | 306 W Due West Ave, Madison, TN 37115-4511 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821615998 | Kathleen Ann Turck | Nurse Practitioner | 523 W Wilson St, Palmyra, WI 53156-9780 | 2020-07-06 |
1417405515 | Christine Leanne Peterson Watts | Nurse Practitioner | 4726 W Jenna Ct, Franklin, WI 53132-7602 | 2016-09-17 |
1902257991 | Andrea Schlidt | Nurse Practitioner | W62n1028 Fairhaven Ct, Cedarburg, WI 53012-1288 | 2016-06-30 |
1518360619 | Sarah Kathleen Holthe | Nurse Practitioner | 804 Evergreen Dr, Holmen, WI 54636-9145 | 2014-10-02 |
1235375544 | Dixie Lee Olson | Nurse Practitioner | 401 Finvold St, Woodville, WI 54028-9719 | 2008-12-17 |
1417123092 | Dementia Consultations LLC | Nurse Practitioner | 265 North Park Street, Richland Center, WI 53581-2208 | 2008-05-05 |
1457540171 | Kelly Ann Felmer | Nurse Practitioner | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2007-10-18 |
1376747261 | Christine Marie Dietrich | Nurse Practitioner | 303 W Upham St Ste 200, Marshfield, WI 54449-1483 | 2007-06-13 |
1730381591 | Pamela J Thul-immler | Nurse Practitioner | 9060 Madeline Lake Rd, Woodruff, WI 54568-9651 | 2007-06-04 |
1073726873 | Michael James Dodds | Nurse Practitioner | 2419 Morse St, Janesville, WI 53545-0221 | 2007-05-08 |
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.