MILDRED GAYAMO WAGNER
NPI 1508614298
Counselor - Addiction (Substance Use Disorder) in Fresno, CA
About Mildred Gayamo Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILDRED GAYAMO WAGNER (NPI 1508614298) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (18116) and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mildred Wagner's NPI number?
The NPI number for Mildred Wagner is 1508614298. It was assigned to this individual provider in the NPPES registry on May 8, 2024. The provider is also known as Mildred Gayamo Tupe.
Where is Mildred Wagner located?
Mildred Wagner practices at 2772 S Mlk Blvd, Fresno, CA 93706. The listed phone number is (559) 265-4800.
What is Mildred Wagner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Mildred Wagner was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.