Individual provider · Type 1 NPI

Riley James Wagner

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1730948811 Active

Practice location

3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083

Call (702) 671-5127 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XLL4229 (NV)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730948811

Riley James Wagner's National Provider Identifier is 1730948811, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on May 26, 2026.