Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY L WAGNER, PA-C
ActiveSTACY L WAGNER, PA-C is a Medical Physician Assistant healthcare provider located in WINFIELD, Kansas. NPI 1992054431 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WINFIELD, KS
Registration Details
- NPI Number
- 1992054431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2012 (13.975249989898 yrs)
- Last Updated
- Jun 12, 2024
- Licenses
-
15-0155315-01553 (KS)
Practice Information
- Address
-
1305 E 19TH AVEWINFIELD, KS, 671565201Browse KS providers · Browse ZIP 67156
- Phone
- 6202219500
- Fax
- 6202213700
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.