Individual provider · Type 1 NPI

Kayla Rose Wagner, PA-C

Physician Assistant · Waukesha, WI

NPI number 1790411536 Active

Practice location

1111 Delafield St Ste 209
Waukesha, WI 53188-3403

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790411536

Kayla Rose Wagner, PA-C's National Provider Identifier is 1790411536, issued on Jul 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waukesha, WI. The record was last updated on Feb 20, 2025.