Grace Elizabeth Wagner, DNP, APRN, CPNP is a pediatrics nurse practitioner in Peoria, IL. Grace Elizabeth Wagner, DNP, APRN, CPNP NPI is 1871164418. 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:
8600 STATE ROUTE 91 STE 200
PEORIA, IL
ZIP 61615-833
Phone: (309) 692-1030
The NPI 1871164418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/6/2021 and was last updated on 7/6/2021.