Dr. Traci Lee Wagner
MD | Pediatrics | Female
Dr. Traci Lee Wagner, MD is a Littleton, New Hampshire based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Traci Lee Wagner is
580 St. Johnsbury Rd., Littleton, New Hampshire - 03561. She can be contacted on phone at
603-444-7070 and fax number 603-788-5027.
Dr. Traci Lee Wagner is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Traci Lee Wagner is
1932187465 which was assigned by NPPES on 05 Jan, 2006 and it was last updated on 11 Apr, 2017.
Dr. Traci Lee Wagner license number is
12859 for Pediatrics (208000000X) in New Hampshire.
Dr. Traci Lee Wagner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Traci Lee Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Traci Lee Wagner |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Traci Lee Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 580 St. Johnsbury Rd.
Littleton, NH, 03561
United States |
|---|
| Phone Number : | 603-444-7070 |
|---|
| Fax Number : | 603-788-5027 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932187465 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 05 Jan, 2006 |
|---|
| Last Updated On : | 11 Apr, 2017 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Traci Lee Wagner are as mentioned. Primary taxonomy code for Dr. Traci Lee Wagner, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12859 | NH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Traci Lee Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1011825 | MEDICAID | VT | |
| 30205431 | MEDICAID | NH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 133 Pleasant St
Berlin, NH, 03570-2006
United States |
|---|
| Phone Number : | 603-752-2040 |
|---|
| Fax Number : | 603-752-3862 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Traci Lee Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.