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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MELISSA SUE WAGNER, ACNP

Active

MS. MELISSA SUE WAGNER, ACNP is a Nurse Practitioner healthcare provider located in BLOOMINGTON, Minnesota. NPI 1366763708 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BLOOMINGTON, MN

Registration Details

NPI Number
1366763708
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2010 (16.108696157544 yrs)
Last Updated
Jun 13, 2023
Licenses
2010012196 (MO)
3805 (MN)

Practice Information

Address
8100 NORTHLAND DR
BLOOMINGTON, MN, 554314800
Browse MN providers · Browse ZIP 55431
Phone
9528318742
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BLOOMINGTON, MN

Name Credential NPI
MABEL A ROHR NP 1013988468
GAIL A FELLMAN GNP 1689648230
PATRICIA JEAN WURM GNP 1497729040
JANET M QUARN ANP 1487627048
JOAN C BARNETT NP 1063485621
GENEVA ELIZABETH DOKKEN GNP 1932173580
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.