Individual provider · Type 1 NPI

Kayla Wagner, CPNP-PC

Pediatric Nurse Practitioner · New York, NY

NPI number 1770027849 Active

Practice location

4600 Broadway
New York, NY 10040-2102

Mailing address

4 W 125th St, 2nd Floor
New York, NY 10027-4567

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382700 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1770027849

Kayla Wagner, CPNP-PC's National Provider Identifier is 1770027849, issued on Dec 8, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Dec 11, 2016.