Individual provider · Type 1 NPI

Taylor Alexis Wagner, PA-C

Medical Physician Assistant · Corry, PA

NPI number 1497572671 Active

Practice location

315 York St
Corry, PA 16407-1412

Mailing address

4127 Zimmerman Rd
Erie, PA 16510-3664

Other practice locations

  • 3413 Cherry St, Erie, PA 16508-2678 · (814) 868-9828

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA065975 (PA)

Medical Physician Assistant: Definition to come...

12 other providers at this address

Other medical physician assistant providers in Corry

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About NPI 1497572671

Taylor Alexis Wagner, PA-C's National Provider Identifier is 1497572671, issued on Sep 20, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Corry, PA. The record was last updated on Jun 16, 2026.