Individual provider · Type 1 NPI
Peter Wagner
Peer Specialist · Las Vegas, NV
NPI number
1780485128
Active
Practice location
3441 W Sahara Ave Ste C1
Las Vegas, NV 89102-6059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | PRSS5282 (NV) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1780485128
Peter Wagner's National Provider Identifier is 1780485128, issued on Mar 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 21, 2025.