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NPI Code Detail

MEDICARE: MRS. KARLA J WAGNER C.R.N.A.

MEDICARE: MRS. KARLA J WAGNER C.R.N.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist55454KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Q52528OTHERKSUPIN #

General Provider Information

NPI Number : 1538147681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARLA J WAGNER C.R.N.A.
Provider Business Mailing Address
First Line : 520 S SANTA FE AVE
Second Line : SUITE 260
City : SALINA
State : KS
Zip : 67401-4190
Country : US
Telephone Number : 785-827-2238
Fax Number : 785-827-1684
Provider Business Practice Location Address
First Line : 520 S SANTA FE AVE
Second Line : SUITE 260
City : SALINA
State : KS
Zip : 67401-4190
Country : US
Telephone Number : 785-827-2238
Fax Number : 785-827-1684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2006
Last Update Date : 07/16/2013

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