MS. PEGGY LYNN WAGNER APN NPI 1699932665

NPI Information

NPI: 1699932665
Provider Name: MS. PEGGY LYNN WAGNER, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2850 GLENWOOD AVE
REACT
ROCKFORD, IL
ZIP 61101
Phone: (815) 971-4750
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MS. Peggy Lynn Wagner, APN is a family nurse practitioner in Rockford, IL. MS. Peggy Lynn Wagner, APN NPI is 1699932665. 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:

2850 GLENWOOD AVE
REACT
ROCKFORD, IL
ZIP 61101-543
Phone: (815) 971-4750
Fax: (815) 971-4120

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.002671	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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