Individual provider · Type 1 NPI

Sarah Wagoner, APRN

Nurse Practitioner · Wichita, KS

NPI number 1073138624 Active

Practice location

9300 E 29th St N Ste 204
Wichita, KS 67226-2183

Mailing address

1421 E Rough Creek Pl
Derby, KS 67037-8568

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5379450 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073138624

Sarah Wagoner, APRN's National Provider Identifier is 1073138624, issued on Jun 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wichita, KS. The record was last updated on Jun 10, 2020.