| Mrs Crystal Dawn Wagner, FNP | |
| 1181 Freedom Rd, Cranberry Township, PA 16066-4913 | |
| (724) 742-1888 | |
| Not Available | 
| Full Name | Mrs Crystal Dawn Wagner | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1181 Freedom Rd, Cranberry Township, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316618291 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024217 (Pennsylvania) | Primary | 
| Entity Name | University Of Pittsburgh Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 | 
| Entity Name | Minuteclinic Diagnostic Of Pennsylvania Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250 | 
| Entity Name | Monogram Health Professional Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220808002650 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Crystal Dawn Wagner, FNP 411 Darrell Dr, Pittsburgh, PA 15235-4544 Ph: (740) 645-9114 | Mrs Crystal Dawn Wagner, FNP 1181 Freedom Rd, Cranberry Township, PA 16066-4913 Ph: (724) 742-1888 | 
| Dr. Mary Elizabeth Wilcher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20397 Route 19 Ste 330, Cranberry Township, PA 16066 Phone: 724-772-3300 Fax: 724-772-3360 | |
| Jaime Jo Farrer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 Falcon Ln, Cranberry Township, PA 16066 Phone: 724-599-7939 | |
| Mrs. Kelly Ann Lee, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Columbine Ct, Cranberry Township, PA 16066 Phone: 724-778-4033 | |
| Carrie Pierce, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Saint Francis Way Ste 202, Cranberry Township, PA 16066 Phone: 412-748-6484 | |
| Laura Ashley Horning, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20397 Route 19 Ste 330, Cranberry Township, PA 16066 Phone: 724-772-3300 Fax: 724-772-3360 | |
| Mrs. Sandra J. Federo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1181 Freedom Rd, Cranberry Township, PA 16066 Phone: 724-742-1888 |