Individual provider · Type 1 NPI
Leilani Lynn Wagner, FNP-BC
Occupational Health Nurse Practitioner · Modesto, CA
NPI number
1689914798
Active
Practice location
1800 Coffee Road Suite 37
Modesto, CA 95355
Fax (209) 491-7595
Other practice locations
- 111 Michigan Ave NW, Washington, DC 20010 · (202) 476-2035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN966643 (DC) |
| Occupational Health Nurse Practitioner Primary | 363LX0106X | 95001675 (CA) |
Occupational Health Nurse Practitioner: Definition to come...
About NPI 1689914798
Leilani Lynn Wagner, FNP-BC's National Provider Identifier is 1689914798, issued on Feb 26, 2013. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Modesto, CA. The record was last updated on Aug 7, 2019.