Individual provider · Type 1 NPI
Emily Lynn Wagner, NP
Psychiatric/Mental Health Nurse Practitioner · La Crosse, WI
NPI number
1356764658
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Other practice locations
- 1321 N Main St, Viroqua, WI 54665-1156 · (608) 637-7052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 17415-33 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 17415-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356764658
Emily Lynn Wagner, NP's National Provider Identifier is 1356764658, issued on Jan 23, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Crosse, WI. The record was last updated on Oct 15, 2026.