Nicholas Van Wagoner

Infectious Disease Physician · Birmingham, AL

Individual Active NPI

NPI number 1891816690

Practice location

1717 6TH Ave S
Birmingham, AL 35233-1801
Phone
(800) 822-8816

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NPI record

NPI
1891816690
Entity type
Individual (Type 1)
Enumeration date
April 2, 2007
Last updated
June 28, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Infectious Disease Physician Primary 207RI0200X 27161 AL

Other practice locations (1)

  • 619 19th St S, Birmingham, AL 35233-1900 · (205) 934-5191

About Nicholas Van Wagoner

Nicholas Van Wagoner is a healthcare provider registered in the NPI registry with the primary taxonomy Infectious Disease Physician (code 207RI0200X). The practice location is 1717 6TH Ave S, Birmingham, AL 35233-1801. The NPI number 1891816690 was assigned on April 2, 2007 and the record was last updated on June 28, 2023.

Nicholas Van Wagoner lists a license in the registry: #27161 (AL) for Infectious Disease Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Van Wagoner?

The NPI number is 1891816690.

What is the phone number of Nicholas Van Wagoner?

The phone number listed for the practice location is (800) 822-8816.

Where is Nicholas Van Wagoner located?

1717 6TH Ave S, Birmingham, AL 35233-1801.

What is the taxonomy code for Nicholas Van Wagoner?

The primary taxonomy code is 207RI0200X – Infectious Disease Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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