Breanna Wagner

  • NPI 1083120984
According to our database, the NPI number for Breanna Wagner is 1083120984 and activated since 6 years ago. Breanna Wagner is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344. You can also contact Breanna Wagner via telephone number is (952) 746-2522. Provider NPI information was last updated on 12/14/2017.

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Overview of Breanna Wagner

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/14/2017
  • Last updated: 12/14/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1900 Silver Lake Rd Nw Ste 110
    New Brighton, MN 55112
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 11010 Prairie Lakes Dr Ste 350
    Eden Prairie, MN 55344
  • Phone: 952-746-2522
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Breanna Wagner?
  • A: The npi number for Breanna Wagner is 1083120984.
  • Q: What are Breanna Wagner's specialties?
  • A: Breanna Wagner's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Breanna Wagner?
  • A: The medical license number for Breanna Wagner is unknow and issued in unknow in USA.
  • Q: Where is Breanna Wagner practice location?
  • A: Breanna Wagner is practicing at 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344.
  • Q: How to contact Breanna Wagner?
  • A: You can contact Breanna Wagner via 952-746-2522.
Medicare Specialty
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