Search › Utah › 101YM0800X
Elisabeth Wagner
NPI 1760095152 · on the registry since 2020
Practice
- Address
- 3737 W 4100 S
West Valley City, UT 84120 - Phone
- (888) 949-4864
- Fax
- (206) 901-2010
- Clinicians at this address
- 79
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
104100000X
171M00000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-25
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 Utah