Individual provider · Type 1 NPI

Keri Jean Wagner, N.P.

Family Nurse Practitioner · Commack, NY

NPI number 1053433474 Active

Practice location

650 Commack Rd
Commack, NY 11725-5404

Fax (631) 864-2787

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF334793 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1053433474

Keri Jean Wagner, N.P.'s National Provider Identifier is 1053433474, issued on Apr 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Commack, NY. The record was last updated on May 13, 2010.