Search › Iowa › 235Z00000X
Tana Wagner
NPI 1215202114 · on the registry since 2012
Practice
- Address
- 206 Port Neal Rd
Sergeant Bluff, IA 51054 - Phone
- (712) 943-3837
- Organisation at this address
- Kismet Sux Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-12
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 Iowa