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KEISHA LYNN WAGNER NPI 1639641889


NPI Information

NPI: 1639641889
Provider Name: KEISHA LYNN WAGNER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
273 PUTNAM AVE
BROOKLYN, NY
ZIP 11216
Phone: (917) 682-4643
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Keisha Lynn Wagner is a family nurse practitioner in Brooklyn, NY. Keisha Lynn Wagner NPI is 1639641889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

273 PUTNAM AVE
BROOKLYN, NY
ZIP 11216-613
Phone: (917) 682-4643

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyF343619-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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