Individual provider · Type 1 NPI

Kimberly Wanner, AGNP

Nurse Practitioner · Newark, DE

NPI number 1235678087 Active

Practice location

4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301
Newark, DE 19713-2072

Fax (302) 623-4375

Mailing address

200 Hygeia Dr, Suite 2300
Newark, DE 19713-2049

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XLP-0000194 (DE)
Adult Health Nurse Practitioner 363LA2200XLP-0000194 (DE)
Gerontology Nurse Practitioner 363LG0600XLP-0000194 (DE)

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 1235678087

Kimberly Wanner, AGNP's National Provider Identifier is 1235678087, issued on Feb 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, DE. The record was last updated on Feb 13, 2017.