Individual provider · Type 1 NPI

William Robert Wagner, DRNP, LCSW

Adult Health Nurse Practitioner · Kyle, SD

NPI number 1043219587 Active

About NPI 1043219587

William Robert Wagner, DRNP, LCSW's National Provider Identifier is 1043219587, issued on Jul 18, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Kyle, SD. The record was last updated on Apr 29, 2016.