Individual provider · Type 1 NPI

Andrea S. Wagner, CPNP-PC

Pediatric Nurse Practitioner · Columbus, OH

NPI number 1043455397 Active

Practice location

555 S 18th St
Columbus, OH 43205-2654

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664

Other practice locations

  • 700 Childrens Dr, Columbus, OH 43205-2664 · (614) 722-2461
  • 455 Executive Campus Dr, Westerville, OH 43082-8870 · (614) 722-2000
  • 405 Butterfly Gardens Dr, Columbus, OH 43215-4985 · (614) 722-6200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN.CNP.10126 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043455397

Andrea S. Wagner, CPNP-PC's National Provider Identifier is 1043455397, issued on Dec 15, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbus, OH. The record was last updated on Feb 26, 2026.