Individual provider · Type 1 NPI
Katelyn Wagner, AGPCNP
Adult Health Nurse Practitioner · North Tonawanda, NY
NPI number
1871440180
Active
Practice location
6740 Shawnee Rd
North Tonawanda, NY 14120-9504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 312752 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1871440180
Katelyn Wagner, AGPCNP's National Provider Identifier is 1871440180, issued on Mar 16, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in North Tonawanda, NY. The record was last updated on Mar 16, 2026.