Victoria Lea Wagner, RN,CRNFA, CPSN,CNOR

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R099633 Issued in MD

Practice address

909 Eastgate CT
Cumberland, MD 21502-1811

Phone

(301) 724-1196

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1922258284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 EASTGATE CT",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021811",
            "telephone_number": "301-724-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 EASTGATE CT",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021811",
            "telephone_number": "301-724-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "VICTORIA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "RN,CRNFA, CPSN,CNOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MD",
            "license": "R099633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walgreen Co
• Connie Walker

• Registered Nurse First Assistant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Registered Nurse First Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.