Colleen M Wagner, A-GNP-C
Colleen M Wagner, A-GNP-C is a Nurse Practitioner in Cedar Knolls, New Jersey. Qualified in 2017, 9 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.
- Years since qualifying
- 9
- Licensed in
- NJ, NY
- In the registry since
- 2015
- Specialties on file
- 5
Practice location Address checks out
14 Ridgedale Ave Ste 103Cedar Knolls, NJ 07927-1106
Phone: (973) 295-6335
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 155 Crystal Run Rd, Middletown, NY 10941-4057 — (845) 703-6999
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ00855900 (NJ) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence F310566 (NY) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 26NJ00855900 (NJ) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence F310566 (NY) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 26NJ00855900 (NJ) |
Record details
| NPI number | 1316310568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | A-GNP-C |
| Sole proprietor | No |
| NPI enumerated | November 10, 2015 |
| Last updated in NPPES | February 22, 2023 |
| Certification date | February 22, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Nj Memory And Behavioral Care — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Cedar Knolls
-
Shannon Lynn Gingerelli, APN-C
11 Saddle Rd, Cedar Knolls, NJ 07927-1901 · (973) 267-2122
-
Hanan Khorchid
14 Ridgedale Ave Ste 103, Cedar Knolls, NJ 07927-1106 · (973) 295-6335
-
Alexandra Lev, APN
65 Ridgedale Ave, Cedar Knolls, NJ 07927-1313 · (973) 401-1100