Sophia Wagner

NPI 1417683277 · on the registry since 2022

Practice

Address: 4320 Houma Blvd Fl 5
Metairie, LA 70006
Phone: (504) 503-6565
Fax: (504) 456-8053
Organisation at this address: Parish Anesthesia Ej Asc Llc
Metairie Emergency Group, Llc
East Jefferson Ambulatory Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-09-15

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 Louisiana