Provider Demographics
NPI:1497563910
Name:WAGNEROWSKI, MARGARET (MSN, APNP, CNS-BC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:WAGNEROWSKI
Suffix:
Gender:F
Credentials:MSN, APNP, CNS-BC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:STURGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APNP, CNS-BC
Mailing Address - Street 1:615 10TH ST S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4768
Mailing Address - Country:US
Mailing Address - Phone:608-392-4498
Mailing Address - Fax:
Practice Address - Street 1:3219 HORTON ST
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-5601
Practice Address - Country:US
Practice Address - Phone:813-352-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11833-33364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology