Christine Anna Wagner, APN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

26NC06233300 Issued in NJ

Practice address

100 Madison Ave
Dept. of Pediatric Endocrinolgy, Box 53
Morristown, NJ 07960-6136

Phone

(973) 971-4340

Fax

(973) 290-7367

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1154599819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "DEPT. OF PEDIATRIC ENDOCRINOLGY, BOX 53",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-4340",
            "fax_number": "973-290-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "DEPT. OF PEDIATRIC ENDOCRINOLGY, BOX 53",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-4340",
            "fax_number": "973-290-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTINE",
        "middle_name": "ANNA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NJ",
            "license": "26NC06233300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Vought, DO
• Lauren Sara Vrablik, M.D.
• Carissa Angela Vuono, MA, LAC, NCC
• Mihir Vyas, D.O
• Rupali Wadhwa, DMD
• Allison R Wagreich, M.D.
• Adam D Wagshul, MD
• Owen Waivada
• Herman Larry Waldman, DDS
• Walgreen Co

• All providers in Morristown, NJ
• Pediatric Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.