Individual provider · Type 1 NPI

Daniel Wagoner

Family Nurse Practitioner · Indianapolis, IN

NPI number 1952070799 Active

Practice location

8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764

Other practice locations

  • 720 Eskenazi Ave, Indianapolis, IN 46202-5187 · (317) 880-7666

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28226050A (IN)
Nurse Practitioner 363L00000X71011659A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1952070799

Daniel Wagoner's National Provider Identifier is 1952070799, issued on Sep 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 2, 2025.