Individual provider · Type 1 NPI

Nicole J. Wagner, FNP

Nurse Practitioner · St. George, UT

NPI number 1942627484 Active

Practice location

1380 E Medical Center Dr
St. George, UT 84790-2123

Call (435) 251-2500 Map

Fax (435) 656-4907

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

975 Port Washington Rd, Grafton, WI 53024-9201 · (414) 489-4190
2825 E Mall Dr, St. George, UT 84790-1954 · (435) 215-0400

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	5723 (WI)
Nurse Practitioner Primary	363L00000X	12160799-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942627484

Nicole J. Wagner, FNP's National Provider Identifier is 1942627484, issued on Mar 22, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. George, UT. The record was last updated on Jun 20, 2024.