SearchVirginia363LF0000X

Melissa Wagner, APRN

NPI 1174992382 · on the registry since 2015 · sole proprietor

Practice

Address
34 Medical Park Blvd
Petersburg, VA 23805
Phone
(804) 609-0175
Fax
(804) 835-5999
Organisation at this address
Commonwealth Alliance
Patriotmed Of Kansas, P.A.
The Petersburg Smile Center, P.C.
Community Wellness & Support, Llc
Community Wellness & Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
VA, KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-03

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 Virginia