Ms. Kristen L Wagoner, NP
Nurse Practitioner in Wilmington, Massachusetts
1407104060- Practice location
- 500 Salem St, Wilmington, MA 01887-1200
- Phone
- 978-988-6000
- Fax
- 978-657-4169
- Last updated
- June 10, 2016
Kristen Laramie Wagoner is a Nurse Practitioner based in Wilmington, MA. Kristen Laramie Wagoner practices in Wilmington, MA and has the professional credentials of NP. The NPI Number for Kristen Laramie Wagoner is 1407104060 and holds a License No. 2270616 (MA). The current practice location address for Kristen Laramie Wagoner is 500 Salem St, Wilmington, MA 01887-1200 and can be reached out via phone at 978-988-6000 and via fax at 978-657-4169.
Provider Profile Details
- NPI Number
- 1407104060
- Provider Name
- Kristen Laramie Wagoner
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Salem St, Wilmington, MA 01887-1200
- Phone Number
- 978-988-6000
- Fax Number
- 978-657-4169
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2012
- Last Update Date
- June 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Salem St
Wilmington, MA 01887-1200 - City
- Wilmington
- State
- Massachusetts
- Zip
- 01887-1200
- Phone Number
- 978-988-6000
- Fax Number
- 978-657-4169
Provider Business Mailing Address Details
- Address
- Po Box 760
Winchester, MA 01890-4260 - City
- Winchester
- State
- MA
- Zip
- 01890-4260
- Phone Number
- 781-756-7273
- Fax Number
- 781-721-0725
License Information
- License Number
- 2270616
- License State
- MA
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Kristen L Wagoner, NP?
The NPI number of Ms. Kristen L Wagoner, NP is 1407104060. It was assigned on August 29, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Kristen L Wagoner, NP?
Ms. Kristen L Wagoner, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 2270616.
Where does Ms. Kristen L Wagoner, NP practice?
The practice location is 500 Salem St, Wilmington, MA 01887-1200. The office can be reached at 978-988-6000 (phone) or 978-657-4169 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407104060 directly on the NPPES registry website.