National Provider Identifier
Monta Wagner, NP
Monta Wagner, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Horseheads, NY and a listed phone number of (607) 734-2264.
Profile Overview
- NPI
- 1639101363
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 06, 2006
- Last Updated
- March 03, 2021
Practice Location
- 3344 Chambers RD Ste 200
- Horseheads, NY 14845-1403
Phone: (607) 734-2264
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1639101363
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Monta
- Credential
- NP
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (607) 734-2264
- Mailing Fax
- (708) 885-8585
- Practice Street Address
- 3344 Chambers RD Ste 200
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-1403
- Practice Country
- US
- Practice Phone
- (607) 734-2264
- Practice Fax
- (607) 734-2932
- Enumeration Date
- July 06, 2006
- Last Updated
- March 03, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 03, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 01267821 (NY), 161355553 (Business Tax Id)