Individual provider · Type 1 NPI

Julie Wagner

Family Nurse Practitioner · Peoria, IL

NPI number 1033830823 Active

Practice location

8914 N Knoxville Ave
Peoria, IL 61615-1410

Mailing address

1813 Partridge Pt
Normal, IL 61761-5656

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209025916 (IL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

Other family nurse practitioner providers in Peoria

See all in Peoria →

About NPI 1033830823

Julie Wagner's National Provider Identifier is 1033830823, issued on Sep 8, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Mar 20, 2025.