Individual provider · Type 1 NPI

Crystal Wagner, APRN

Nurse Practitioner · Fort Thomas, KY

NPI number 1689049033 Active

Practice location

85 N Grand Ave
Fort Thomas, KY 41075-1793

Call (859) 572-3617 Map

Fax (859) 572-2326

Mailing address

PO Box 18667
Erlanger, KY 41018-0667

Other practice locations

1 Medical Village Drive, Edgewood, KY 41017-3403 · (859) 301-8074

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	71010822A (IN)
Nurse Practitioner Primary	363L00000X	3009831 (KY)

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 1689049033

Crystal Wagner, APRN's National Provider Identifier is 1689049033, issued on Dec 10, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Thomas, KY. The record was last updated on Jun 26, 2025.