Search › Maine › 363LP0200X
Elena Wagner, PNP
NPI 1336250745 · on the registry since 2006
Practice
- Address
- 23 Durham Rd
Suite 303
Freeport, ME 04032 - Phone
- (207) 869-4002
- Fax
- (207) 869-4077
- Organisation at this address
- Freeport Medical Center Pa
Regenerative Medicine Of Maine, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363L00000X
363LP0200X - Licence states on file
- ME, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-13
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 Maine