FAITH P WAGNER (NPI# 1841295987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295987 |
| Entity Type | Individual |
| Full Name | FAITH P WAGNER |
| Credential | NP |
| Practice Address |
2500 State Rd La Crosse WI 54601-5098 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087755858 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1778 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43931800 | 05 |
| Street Address |
2500 STATE RD |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043446974 | Gundersen Lutheran Express Care, Inc | Clinic/Center | 2500 State Rd, La Crosse, WI 54601-5098 | 2009-06-05 |
| 1356310361 | Barbara J Stafslien | Nurse Practitioner | 2500 State Rd, La Crosse, WI 54601-5098 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865142 | Marissa Pederson | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2020-09-10 |
| 1114538717 | Judith Michele Rausch | Nurse Practitioner | 916 Ferry St, La Crosse, WI 54601-4717 | 2020-08-17 |
| 1881230548 | Lori Ann Miskell | Nurse Practitioner | 1526 Rose St, La Crosse, WI 54603-4500 | 2019-11-18 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1457908790 | Carly J Gerardy | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-08-21 |
| 1336791862 | Brookelyn R Kruger | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2019-07-15 |
| 1245791144 | Melanie Ann Bratcher | Nurse Practitioner | 1836 South Avenue, La Crosse, WI 54601 | 2019-03-25 |
| 1861962920 | Robyn Lynn Brown | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-12-03 |
| 1710469051 | Krista Jane Kirchner | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-09-04 |
| 1770063547 | Rebecca Jane Palmer | Nurse Practitioner | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-08-20 |
| Find all providers in LA CROSSE | ||||
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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.