NPI 1003180860

Monisa Deanne Wagner

Practitioner Physician Assistant Danville, PA

Practice location

Address: 100 N Academy Ave, Danville, PA 17822-1339
Phone: (570) 271-7910
Fax: (570) 271-6002
Mailing address: 100 N Academy Ave Credentials Dept, Danville, PA 17822-4903

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA055437 (PA)

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Registry record

NPI: 1003180860
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2012
Record last updated: 23 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.