Individual provider · Type 1 NPI
Kristin L. Wagner, FNP
Family Nurse Practitioner · New Hartford, NY
NPI number
1053674945
Active
Practice location
1729 Burrstone Rd
New Hartford, NY 13413-1001
Fax (315) 798-1556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 337316 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053674945
Kristin L. Wagner, FNP's National Provider Identifier is 1053674945, issued on Jun 17, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hartford, NY. The record was last updated on Jun 17, 2012.