MS. VICTORIA LEA WAGNER RN,CRNFA, CPSN,CNOR, NPI 1922258284 — CUMBERLAND (MD)

NPI 1922258284

11+ Years Experience Individual

MS. VICTORIA LEA WAGNER RN,CRNFA, CPSN,CNOR

09/23/2008
PROVIDER ENUMERATION DATE
09/23/2008
LAST UPDATE DATE
1922258284
NPI NUMBER

About MS. VICTORIA LEA WAGNER

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MS. VICTORIA LEA WAGNER is a provider established in CUMBERLAND, MD. The NPI number of MS. VICTORIA LEA WAGNER is 1922258284 and was assigned on 09/23/2008. The practitioners primary taxonomy code is: 163WR0006X with license number: R099633 MD .

Mailing address

  • City: CUMBERLAND
  • State: MD
  • Postal code: 215021811
  • Phone: 3017241196
  • Address: 909 EASTGATE CT

Primary Practice Address

  • Region : CUMBERLAND, MD
  • NPI : 1922258284
  • Phone : 3017241196
  • Postalcode : 215021811
  • Address : 909 EASTGATE CT

Provider taxonomy - Registered Nurse

  • Taxonomy code: 163WR0006X
  • License number: R099633
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

Contacts:

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  • MS. VICTORIA LEA WAGNER RN,CRNFA, CPSN,CNOR
  • Address : 909 EASTGATE CT
  • Region : CUMBERLAND, MD
  • NPI : 1922258284
  • Phone : 3017241196
  • Postalcode : 215021811

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address909 EASTGATE CT
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCUMBERLAND
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code215021811
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3017241196
The telephone number associated with the location address of the provider being identified.
NPI1922258284
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1163WR0006X
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
Provider Enumeration Date09/23/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/23/2008
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MS. VICTORIA LEA WAGNER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address909 EASTGATE CT
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameCUMBERLAND
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code215021811
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3017241196
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1163WR0006X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Registered Nurse
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
Provider License Number 1R099633
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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