Individual provider · Type 1 NPI

Monica Wagner

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1154965531 Active

Practice location

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954

Mailing address

1325 E 96th St
Indianapolis, IN 46240-1257

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X28224168A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154965531

Monica Wagner's National Provider Identifier is 1154965531, issued on Oct 29, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 19, 2023.