Individual provider · Type 1 NPI

Julie Ann Wagner, NP

Nurse Practitioner · St. Louis Park, MN

NPI number 1093869711 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-5000

Call (952) 993-3230 Map

Fax (952) 993-1748

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 · (612) 863-3900

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X2006007942 (MN)
Adult Health Nurse Practitioner 363LA2200X2564 (MN)
Nurse Practitioner Primary 363L00000X2564 (MN)

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 1093869711

Julie Ann Wagner, NP's National Provider Identifier is 1093869711, issued on Jan 22, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 23, 2024.