Individual provider · Type 1 NPI

Elizabeth Marie Wagner, RN, MSN, CPNP-AC

Critical Care Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1477596468 Active

Practice location

2525 Chicago Ave # Ms 324203
Minneapolis, MN 55404-4518

Call (126) 813-7336 Map

Fax (612) 813-7660

Mailing address

1019 Danube Ave
Shakopee, MN 55379-4636

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X41272234 (IL)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1477596468

Elizabeth Marie Wagner, RN, MSN, CPNP-AC's National Provider Identifier is 1477596468, issued on Jun 14, 2006. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 13, 2023.