Individual provider · Type 1 NPI

Katharine Lyle Holmes Wagner, CPNP

Primary Care Nurse Practitioner · Aurora, CO

NPI number 1306374202 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XAPN0993047-NP (CO)
Primary Care Nurse Practitioner Primary 363LP2300XAPN.0993047-NP (CO)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1306374202

Katharine Lyle Holmes Wagner, CPNP's National Provider Identifier is 1306374202, issued on May 23, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Aurora, CO. The record was last updated on May 1, 2023.