Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE MARIE WAGNER, BSN-RN, PHN
ActiveBROOKE MARIE WAGNER, BSN-RN, PHN is a Community Health Nurse healthcare provider located in CROOKSTON, Minnesota. NPI 1134907710 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse · CROOKSTON, MN
Registration Details
- NPI Number
- 1134907710
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2023 (2.9461747866187 yrs)
- Last Updated
- Sep 15, 2023
- Licenses
-
2480220 (MN)R48895 (ND)
Practice Information
- Address
-
ALTRU CLINIC CROOKSTON400 S MINNESOTA STREETCROOKSTON, MN, 56716Browse MN providers · Browse ZIP 56716
- Phone
- 2182819100
- Primary Specialty
-
Community Health Nurse
163WC1500X
- Additional Specialty
- Psychiatric/Mental Health 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.