Individual provider · Type 1 NPI

Keelie Madison Wagner, APRN, CPNP-PC

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1841075595 Active

Practice location

5435 Emerson Way Ste 100
Indianapolis, IN 46226-1470

Call (317) 362-0293 Map

Mailing address

4350 S Brooklawn Dr
New Palestine, IN 46163-9738

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71015385A (IN)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1841075595

Keelie Madison Wagner, APRN, CPNP-PC's National Provider Identifier is 1841075595, issued on Aug 30, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 3, 2024.