Individual provider · Type 1 NPI

Penelope Andrea Wagner, NP

Adult Health Nurse Practitioner · Denver, CO

NPI number 1164608477 Active

Practice location

999 17th St Ste 500
Denver, CO 80202-2728

Fax (303) 225-4246

Mailing address

5920 Mcintyre St
Golden, CO 80403-7445

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPN.0005547-NP (CO)
Gerontology Nurse Practitioner 363LG0600X5547 (CO)
Gerontology Registered Nurse 163WG0600XRN-75898 (CO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1164608477

Penelope Andrea Wagner, NP's National Provider Identifier is 1164608477, issued on Jan 16, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Denver, CO. The record was last updated on Jul 16, 2026.