Ashley Wagner, CRNP | |
1303 Washington St, Marion, AL 36756 | |
(120) 541-7705 | |
Not Available |
Full Name | Ashley Wagner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1303 Washington St, Marion, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114395852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-141241 (Alabama) | Primary |
Entity Name | Rural Health Medical Program, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437238151 PECOS PAC ID: 0143219196 Enrollment ID: O20040506001178 |
Entity Name | Cahaba Medical Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238 |
Entity Name | Monogram Health Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336748300 PECOS PAC ID: 4880004183 Enrollment ID: O20201231000995 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
Mailing Address | Practice Location Address |
---|---|
Ashley Wagner, CRNP 405 Belcher St, Centreville, AL 35042-2946 Ph: (205) 417-7053 | Ashley Wagner, CRNP 1303 Washington St, Marion, AL 36756 Ph: (120) 541-7705 |
Mrs. Cynthia Jackson Evans, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 Washington St, Marion, AL 36756 Phone: 334-247-1006 Fax: 334-683-5737 | |
Shjuan D Pickett-crockett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1768 S Washington St, Marion, AL 36756 Phone: 334-682-9085 Fax: 334-682-9082 | |
Mrs. Lora N. Mims, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Rr 2, Box 4d, Hwy 45 S, Marion, AL 36756 Phone: 334-683-9085 Fax: 334-683-9082 |