Individual provider · Type 1 NPI

Crystal Dawn Wagner, FNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1316618291 Active

Practice location

1650 Market St Ste 3600
Philadelphia, PA 19103-7334

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 1181 Freedom Rd, Cranberry Township, PA 16066-4913 · (724) 742-1888

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP024217 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1316618291

Crystal Dawn Wagner, FNP's National Provider Identifier is 1316618291, issued on Sep 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2026.