ELLEN WAGNER, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1679975411

Practice Address

19624 GOVERNORS HWY
Flossmoor, IL 60422

Phone: (708) 798-5838

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 041372498 (IL)
Nurse Anesthetist, Certified Registered 367500000X Yes 209.012203 (IL)

Frequently Asked Questions

NPI 1679975411 is the National Provider Identifier for ELLEN WAGNER, CRNA, a Nurse Anesthetist, Certified Registered provider located in Flossmoor, IL. This NPI was enumerated on September 24, 2014.
ELLEN WAGNER, CRNA practices at 19624 GOVERNORS HWY, Flossmoor, IL 60422.

Quick Facts

NPI
1679975411
Type
Individual
Enumerated
Sep 24, 2014
Last Updated
Jul 21, 2022

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