SCOTT JOHN WAGNER CNOR RNFA NPI 1841499258

NPI Information

NPI: 1841499258
Provider Name: SCOTT JOHN WAGNER, CNOR RNFA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3322 COLORADO BLVD STE 101
DENTON, TX
ZIP 76210
Phone: (940) 387-7588
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Scott John Wagner, CNOR RNFA is a family nurse practitioner in Denton, TX with 4 years of experience. Scott John Wagner, CNOR RNFA NPI is 1841499258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3322 COLORADO BLVD STE 101
DENTON, TX
ZIP 76210-889
Phone: (940) 387-7588
Fax: (940) 566-0881

The NPI 1841499258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1018610	TEXAS	Yes
2	163WR0006X	Registered Nurse	Registered Nurse First Assistant	695886	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	695886	OTHER	TEXAS	RN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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