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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARY L HUNTLEY WAGNER, FNP – NPI #1376775098
Family


Contact Information

MARY L HUNTLEY WAGNER, FNP
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA23455-6004
 Phone: 757-333-7625
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Family

363LF0000X
Indicates primary specialty
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NPI Information for MARY L HUNTLEY WAGNER · (Female)

NPI Number 1376775098
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/13/2009
Last updated 06/19/2012 - About 3 years ago
Sole proprietor 1 No
Identifiers
VA License # 0024168926
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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