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

MRS. LEILANI LYNN WAGNER, FNP-BC

Active

MRS. LEILANI LYNN WAGNER, FNP-BC is a Occupational Health Nurse Practitioner healthcare provider located in MODESTO, California. NPI 1689914798 is currently active in the NPPES registry. Verify at CMS.

Occupational Health Nurse Practitioner · MODESTO, CA

Registration Details

NPI Number
1689914798
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2013 (13.483363294989 yrs)
Last Updated
Aug 7, 2019
Licenses
RN966643 (DC)
95001675 (CA)

Practice Information

Address
1800 COFFEE ROAD SUITE 37
MODESTO, CA, 95355
Browse CA providers · Browse ZIP 95355
Phone
2095727136
Fax
2094917595
Primary Specialty
Occupational Health Nurse Practitioner
363LX0106X
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.