National Provider Identifier
Nicole Anne Stassen-Wagner, M.D.
Nicole Anne Stassen-Wagner, M.D. is listed in the NPPES registry with a primary specialty of Trauma Surgery Physician in Rochester, NY and a listed phone number of (585) 275-3376.
Profile Overview
- NPI
- 1417984519
- Provider Type
- Individual
- Primary Specialty
- Trauma Surgery Physician
- Enumeration Date
- June 26, 2006
- Last Updated
- July 05, 2023
Practice Location
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-8410
Phone: (585) 275-3376
Specialties
- Trauma Surgery Physician (2086S0127X)
- Surgical Critical Care Physician (2086S0102X)
Endpoints
- nstassen5313@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1417984519
- Entity Type
- Individual
- Last Name
- Stassen-Wagner
- First Name
- Nicole
- Middle Name
- Anne
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8410
- Mailing Country
- US
- Mailing Phone
- (585) 275-3376
- Mailing Fax
- (585) 276-1992
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-8410
- Practice Country
- US
- Practice Phone
- (585) 275-3376
- Practice Fax
- (585) 276-1992
- Enumeration Date
- June 26, 2006
- Last Updated
- July 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Trauma Surgery Physician (2086S0127X), Surgical Critical Care Physician (2086S0102X)
- Other Identifiers
- 02497487 (NY)