Individual provider · Type 1 NPI

Kathryn Jane Wagner, FNP-C

Family Nurse Practitioner · Farmington Hills, MI

NPI number 1750806097 Active

Practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Call (248) 798-3107 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 29911 6 Mile Rd, Livonia, MI 48152-3603 · (248) 762-5915

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704301133 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1750806097

Kathryn Jane Wagner, FNP-C's National Provider Identifier is 1750806097, issued on Aug 8, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington Hills, MI. The record was last updated on Mar 16, 2023.