Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM ROBERT WAGNER, DRNP, LCSW
ActiveDR. WILLIAM ROBERT WAGNER, DRNP, LCSW is a Adult Health Nurse Practitioner healthcare provider located in KYLE, South Dakota. NPI 1043219587 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · KYLE, SD
Registration Details
- NPI Number
- 1043219587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (21.03088185741 yrs)
- Last Updated
- Apr 29, 2016
- Licenses
-
R055430 (NY)541137 (NY)F304782 (NY)F340615 (NY)
Practice Information
- Address
-
1000 HEALTH CENTER ROADKYLE HEALTH CENTER / DHHS/IHSKYLE, SD, 57752Browse SD providers · Browse ZIP 57752
- Phone
- 9176269011
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.