IndividualActive
Amanda Wagner, APRN, CRNA
NPI 1407582497 · Certified Registered Nurse Anesthetist · Bridgeport, CT
Provider details
- NPI number
- 1407582497
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 10891 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
267 Grant St
Bridgeport, CT 06610-2870
Phone: (203) 384-3000
Approximate (ZIP-level) locationGet directions
Mailing address
84 Wheeler Park Ave
Fairfield, CT 06825-1143
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-09-17
- Certified
- 2022-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.