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Contact Information

AMY WAGNER, MS
15696 EL CAMINO REAL #2676
RANCHO SANTA FE, CA92067
 Phone: 858-382-7172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for AMY WAGNER · (Female)

NPI # 1780525006
Status Active
Credentials MS
Entity Individual
Enumeration date 04/02/2026
Last updated 04/02/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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