Individual provider · Type 1 NPI
Matthew Wagner, NP
Family Nurse Practitioner · Wabasha, MN
NPI number
1053785840
Active
Practice location
1200 Grant Blvd W
Wabasha, MN 55981
Other practice locations
- 210 9th St SE, Rochester, MN 55904-6756 · (507) 288-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP 4307 (MN) |
| Registered Nurse | 163W00000X | R 170201-9 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053785840
Matthew Wagner, NP's National Provider Identifier is 1053785840, issued on Nov 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wabasha, MN. The record was last updated on Sep 15, 2026.