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
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP024217 (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.