Individual provider · Type 1 NPI

Peggy Lynn Wagner, APN

Family Nurse Practitioner · Rockford, IL

NPI number 1699932665 Active

Practice location

2850 Glenwood Ave, React
Rockford, IL 61101-3543

Call (815) 971-4750 Map

Fax (815) 971-4120

Mailing address

2820 Glenwood Ave, React
Rockford, IL 61007

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.002671 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1699932665

Peggy Lynn Wagner, APN's National Provider Identifier is 1699932665, issued on May 19, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on May 19, 2008.