Individual provider · Type 1 NPI

Candice Ashley Wagner, RN

Registered Nurse · Staten Island, NY

NPI number 1538052113 Active

Practice location

80 Willowbrook Ct
Staten Island, NY 10302-2402

Call (718) 981-0502 Map

Mailing address

17 Timothy Ln
Tinton Falls, NJ 07724-3133

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	717701 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1538052113

Candice Ashley Wagner, RN's National Provider Identifier is 1538052113, issued on Jun 2, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 2, 2025.