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Contact Information

SAVANNAH E WAGONER, FNP-BC
1705 HELDERBERG TRAIL
BERNE, NY12023
 Phone: 518-872-0009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAVANNAH E WAGONER · (Female)

NPI Number 1295433241
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/20/2023
Last updated 02/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F351072
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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