Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROLYN WAGNER, NP
ActiveMRS. CAROLYN WAGNER, NP is a Family Nurse Practitioner healthcare provider located in DECATUR, Illinois. NPI 1366419087 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · DECATUR, IL
Registration Details
- NPI Number
- 1366419087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2006 (20.273959760365 yrs)
- Last Updated
- Mar 10, 2011
- License
-
209-001389 (IL)
Practice Information
- Address
-
1770 E LAKE SHORE DRSUITE 207DECATUR, IL, 625213832Browse IL providers · Browse ZIP 62521
- Phone
- 2174299700
- Fax
- 2174299702
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL ANN GOETZ | FNP-C | 1255322764 |
| MS. MARCELYN ANN SAWYER | NURSE PRACTITIONER | 1265418313 |
| MRS. JUDY ANN MINTON | CNP | 1326010463 |
| BYRLE BRUNTON | NP | 1609885292 |
| MRS. KERRI ANN DIXON | APN | 1518978972 |
| JENNIFER ANN CHOATIE | FNP-BC | 1720090772 |
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.