ASHLEY E WAGNER


Address: 1850 E Park Ave, Ste 302, State College, PA 16803-6706
Phone: 8142784680

ASHLEY E WAGNER (NPI# 1962844985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962844985
Entity Type Individual
Full Name ASHLEY E WAGNER
Other Name ASHLEY E. HALE
Credential CRNP
Practice Address 1850 E Park Ave
Ste 302
State College
PA 16803-6706
Practice Telephone 8142784680
Practice Fax Number 8142351523
Mailing Telephone 8142784680
Mailing Fax Number 8142351523
Enumeration Date 2013-07-18
Last Update Date 2015-11-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN579355 PA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP014206 PA Physician Assistants & Advanced Practice Nursing Providers

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1972946051 Ashley Wagner Social Worker 3200 West Liberty, Ann Arbor, MI 48103 2013-04-09
1972129757 Ashley Lynn Wagner Nurse Practitioner 2820 Mount Rushmore Rd, Rapid City, SD 57701-5474 2020-06-17
1508491044 Ashley Wagner Behavior Technician 2785 Som Center Rd, Willoughby Hills, OH 44094-6501 2020-03-05
1174168819 Ashley Wagner Behavior Technician 5530 Corbin Ave Ste 221, Tarzana, CA 91356-6095 2019-11-15
1407499551 Ashley Bedelia Wagner Dietitian, Registered 2000 Olathe, Kansas City, KS 66160-7834 2019-10-22
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Office Location

Street Address 1850 E PARK AVE
STE 302
City STATE COLLEGE
State PA
Zip Code 16803-6706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790785343 Barbara A Majeroni Family Medicine 1850 E Park Ave, Suite 312, State College, PA 16803-6706 2005-07-26
1306464169 Tammam Hanna Student in an Organized Health Care Education/Training Program 1850 E Park Ave, Suite 112, State College, PA 16803 2020-07-08
1649653585 Karthika Arulsothynathan Student in an Organized Health Care Education/Training Program 1850 E Park Ave, Suite 207, State College, PA 16803-6706 2015-07-08
1467834309 Andrew Timothy Catherine Emergency Medicine 1850 E Park Ave, State College, PA 16803 2015-06-27
1609268507 Connie Ann Peachey Social Worker 1850 E Park Ave, Suite 302, State College, PA 16803-6706 2015-03-02
1487061305 Tia Dudukovich Physician Assistant 1850 E Park Ave, Ste 302, State College, PA 16803-6706 2014-07-14
1780096289 Allison Marie Saal Physician Assistant 1850 E Park Ave, Ste 201, State College, PA 16803-6706 2014-06-02
1841600855 Nicole J. Young Physician Assistant 1850 E Park Ave, Ste 201, State College, PA 16803-6706 2014-04-29
1508298456 Stephen Dallery Shurgalla Physician Assistant 1850 E Park Ave, Suite 312, State College, PA 16803-6706 2013-08-02
1609149970 Kaitlyn Branigan Brunner Obstetrics & Gynecology 1850 E Park Ave, Ste 301, State College, PA 16803-6706 2012-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124395215 Michelle Lynn Fanning-hursh Nurse Practitioner 200 W Beaver Ave Ste 100, State College, PA 16801-4820 2011-11-17
1659536654 Geraldine M Budd Nurse Practitioner 2440 Chatham Ct, State College, PA 16803-2401 2008-07-20
1245210541 Tracey Allen Banks Nurse Practitioner 211 Noll Lab, State College, PA 16802 2006-01-20
1740264092 Marykathryn Corcoran Nurse Practitioner 315 South Allen St., Suite 417-a, State College, PA 16801 2005-11-30
1891320941 Jill Nicole Sathish Nurse Practitioner 32 Colonnade Way, State College, PA 16803-2309 2020-03-10
1255975892 Lauren B Davidson Nurse Practitioner 905 University Dr, State College, PA 16801-6626 2019-11-06
1821631631 Amber Renee Morrow Nurse Practitioner 2520 Green Tech Dr Ste C, State College, PA 16803-2308 2019-10-24
1366948192 Janet R Cady Nurse Practitioner 1850 E Park Ave Ste 201, State College, PA 16803 2018-04-02
1023524501 Melissa Ann Wallace Nurse Practitioner 905 University Dr, State College, PA 16801-6626 2017-12-20
1124533138 Caitlin J Fernandez Nurse Practitioner 905 University Dr, State College, PA 16801-6626 2017-12-13
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Competitor

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

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.

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