Individual provider · Type 1 NPI
Stacey Mae Wanner, NP
Nurse Practitioner · Eagan, MN
Practice location
4033 Meadowlark Curv
Eagan, MN 55122-1785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14602 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1467330530
Stacey Mae Wanner, NP's National Provider Identifier is 1467330530, issued on Aug 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eagan, MN. The record was last updated on Sep 21, 2026.