Individual provider · Type 1 NPI
Anna Wagner, MD
Nurse Practitioner · Taylorsville, UT
Practice location
3845 W 4700 S
Taylorsville, UT 84129-3454
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10756382-4405 (UT) |
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 1689283269
Anna Wagner, MD's National Provider Identifier is 1689283269, issued on Jul 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Taylorsville, UT. The record was last updated on Jan 29, 2026.