Jodi Ann Wagner, CNM
Advanced Practice Midwife in Sun Prairie, WI. Individual provider (NPI-1).
NPI number1750340899
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1750340899
- Entity type
- Individual (NPI-1)
- Name
- Jodi Ann Wagner
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2006
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 89156 | WI | Yes |
Practice location
3112 Egre RdSun Prairie, WI 53590-9472
Phone 608-265-7601
Mailing address
3112 Egre RdSun Prairie, WI 53590-9472
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