Individual provider · Type 1 NPI
Lisa Marie Wagner, APN NP-C
Family Nurse Practitioner · Basalt, CO
NPI number
1346754249
Active
Practice location
249 Kodiak Dr Unit 201
Basalt, CO 81621-8140
Fax (970) 645-3168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN.0993561-NP (CO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Basalt
- Kathleen Rye, NURSE PRACTITIONERFamily Nurse Practitioner Basalt, CO NPI 1003054859
- Lilia BrownFamily Nurse Practitioner Basalt, CO NPI 1114477684
- Bryn Lou Brendamour, MSN, APN, FNP-CFamily Nurse Practitioner Basalt, CO NPI 1750953477
- Abigail Adams Nims Lavy, FNP-CFamily Nurse Practitioner Basalt, CO NPI 1831417161
About NPI 1346754249
Lisa Marie Wagner, APN NP-C's National Provider Identifier is 1346754249, issued on Nov 30, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Basalt, CO. The record was last updated on May 7, 2025.