Eric David Wagner

  • 1306358445 NPI Number
  • |
  • Actived: 1 year ago
  • |
According to our database, NPI number for Eric David Wagner is 1306358445 and actived since Monday, October 30 2017. Eric David Wagner is an individual provider specializes in Nurse Anesthetist, Certified Registered, primary practice location is 405 W Jackson St, Carbondale, IL 62901. You can also contact Eric David Wagner via telephone number is (618) 549-0721. Provider NPI information was last updated on 10/30/2017.

Recently Active NPIs

Overview of Eric David Wagner

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Nurse Anesthetist, Certified Registered
  • Gender: Male
  • Active since: 10/30/2017
  • Last updated: 10/30/2017

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 209016825
  • License State: IL

Provider Mailing Address

  • Address: 11294 N County Line Rd
    Carbondale, IL 62901
  • Phone: 708-560-6494
  • Fax:

Provider Practice Location

  • Address: 405 W Jackson St
    Carbondale, IL 62901
  • Phone: 618-549-0721
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 209016825
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 118877
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: NBCRNA

Question & Answers

What is the npi number?

  • Q: What is the npi number for Eric David Wagner?
  • A: The npi number for Eric David Wagner is 1306358445.
  • Q: What are Eric David Wagner's specialties?
  • A: Eric David Wagner's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Eric David Wagner?
  • A: The medical license number for Eric David Wagner is 209016825 and issued in IL in USA.
  • Q: Where is Eric David Wagner practice location?
  • A: Eric David Wagner is practicing at 405 W Jackson St, Carbondale, IL 62901.
  • Q: How to contact Eric David Wagner?
  • A: You can contact Eric David Wagner via 618-549-0721.