Athena Wagner

NPI 1770305617 · on the registry since 2024

Practice

Address: 821 S King St Ste B
Leesburg, VA 20175
Phone: (571) 249-2344
Organisation at this address: Hometown Dental Care
Quality Medical Care Inc
Virginia Chiantella Md Pc
Loudoun Lactation And Education
Paul A. Tudder, M.D., F.A.C.O.G., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-31

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