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Contact Information

SHANA L WAGNER, MSN, FNP-BC
W2850 STATE ROAD 28
SHEBOYGAN FALLS, WI53085-2702
 Phone: 920-467-1800
 Fax: 920-467-1900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SHANA L WAGNER · (Female)

NPI Number 1699072140
Status Active
Credentials MSN, FNP-BC
Entity Individual
Enumeration date 02/18/2011
Last updated 01/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 142621
  • WI License # 4381
  • WI Medicaid 100014290
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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