KATHY WAGLE APRN CNS NPI 1912983727

NPI Information

NPI: 1912983727
Provider Name: KATHY WAGLE, APRN, CNS
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 993-3307
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Kathy Wagle, APRN, CNS is a psychiatric/mental health and child and adolescent clinical nurse specialist in St Louis Park, MN with 31 years of experience. Kathy Wagle, APRN, CNS NPI is 1912983727. 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:

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416-527
Phone: (952) 993-3307

The NPI 1912983727 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 12/22/2005 and was last updated on 3/11/2016.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	R0782195	MINNESOTA	No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	CNS 0187	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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