Individual provider · Type 1 NPI
Taylor Lynn Iwaszko Wagner, CNP-PNP
Pediatric Nurse Practitioner · Minneapolis, MN
NPI number
1407577042
Active
Practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 9671 (MN) |
| Pediatric Registered Nurse | 163WP0200X | 2457889 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407577042
Taylor Lynn Iwaszko Wagner, CNP-PNP's National Provider Identifier is 1407577042, issued on Sep 12, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 30, 2024.