Search › Ohio › 363L00000X
Breanna Wagner
NPI 1790554012 · on the registry since 2023
Practice
- Address
- 3333 Burnet Ave, Ml 2023
Cincinnati, OH 45229 - Phone
- (513) 636-4371
- Fax
- (513) 636-7657
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-01
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 Ohio