Individual provider · Type 1 NPI

Colleen M. Wagner, A-GNP-C

Psychiatric/Mental Health Nurse Practitioner · Cedar Knolls, NJ

NPI number 1316310568 Active

Practice location

14 Ridgedale Ave Ste 103
Cedar Knolls, NJ 07927-1106

Other practice locations

  • 155 Crystal Run Rd, Middletown, NY 10941-4057 · (845) 703-6999

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XF310566 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ00855900 (NJ)
Adult Health Nurse Practitioner 363LA2200X26NJ00855900 (NJ)
Gerontology Nurse Practitioner 363LG0600XF310566 (NY)
Gerontology Nurse Practitioner 363LG0600X26NJ00855900 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1316310568

Colleen M. Wagner, A-GNP-C's National Provider Identifier is 1316310568, issued on Nov 10, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cedar Knolls, NJ. The record was last updated on Feb 22, 2023.