Individual provider · Type 1 NPI
Amansa Rae Wagner
Family Nurse Practitioner · Westlake Hills, TX
NPI number
1215899786
Active
Practice location
4201 Bees Cave Road, Ste C106
Westlake Hills, TX 78746-6493
Mailing address
4201 Bee Caves Rd Ste C106
West Lake Hills, TX 78746-6493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1195987 (TX) |
Family Nurse Practitioner: Definition to come...
About NPI 1215899786
Amansa Rae Wagner's National Provider Identifier is 1215899786, issued on Dec 2, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Westlake Hills, TX. The record was last updated on Dec 2, 2025.