Search › New Mexico › 1041C0700X
Matthew Wagner
NPI 1053041137 · on the registry since 2022
Practice
- Address
- 6601 Valentine Way
Santa Fe, NM 87507 - Phone
- (505) 988-1951
- Organisation at this address
- Solace Crisis Treatment Center
Solace Crisis Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico