Individual provider · Type 1 NPI

Bradley Thomas Wagner, CRNA

Certified Registered Nurse Anesthetist · Fort Atkinson, WI

NPI number 1043581770 Active

Practice location

611 Sherman Ave E
Fort Atkinson, WI 53538-1960

Mailing address

PO Box 249
Fort Atkinson, WI 53538-0249

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X190070-30 (WI)
Certified Registered Nurse Anesthetist Primary 367500000X190070-30 (WI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1043581770

Bradley Thomas Wagner, CRNA's National Provider Identifier is 1043581770, issued on Jan 26, 2012. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fort Atkinson, WI. The record was last updated on Dec 19, 2025.