Individual provider · Type 1 NPI
Randi L. Wagner, APNP
Family Nurse Practitioner · Milwaukee, WI
NPI number
1205410040
Active
Practice location
342 N Water St Ste 600
Milwaukee, WI 53202-5715
Fax (651) 342-1428
Mailing address
270 Main St N Ste 300
Stillwater, MN 55082-6788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 10938-33 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 10938-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205410040
Randi L. Wagner, APNP's National Provider Identifier is 1205410040, issued on May 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on May 4, 2026.