Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE WAGNER, APN
ActiveMS. NICOLE WAGNER, APN is a Adult Health Clinical Nurse Specialist healthcare provider located in WAUCONDA, Illinois. NPI 1194968602 is currently active in the NPPES registry. Verify at CMS.
Adult Health Clinical Nurse Specialist · WAUCONDA, IL
Registration Details
- NPI Number
- 1194968602
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2009 (17.318162469292 yrs)
- Last Updated
- Jun 24, 2019
- Licenses
-
209004749 (IL)209004749 (IL)
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Fax
- 8475262017
- Primary Specialty
-
Adult Health Clinical Nurse Specialist
364SA2200X
- Additional Specialty
- Adult Health Clinical Nurse Specialist
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.