Tricia Wagner, NP Valid NPI

Individual provider · Nurse Practitioner · Travis Afb, CA

NPI

1447927751

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

95017980 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-08-24

Last updated

2022-06-07