Individual provider · Type 1 NPI

Shannon Wagner

Registered Nurse · Castro Valley, CA

NPI number 1972485357 Active

Practice location

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305

Mailing address

3645 Whitworth Dr
Dublin, CA 94568-1379

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X767449 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1972485357

Shannon Wagner's National Provider Identifier is 1972485357, issued on Jul 24, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Castro Valley, CA. The record was last updated on Jul 24, 2025.