Mrs. Candice A Wagner, RN
Registered Nurse in Staten Island, New York
1538052113- Practice location
- 80 Willowbrook CT, Staten Island, NY 10302-2402
- Phone
- 718-981-0502
- Fax
- —
- Last updated
- June 2, 2025
Candice Ashley Wagner is a Registered Nurse based in Staten Island, NY. Candice Ashley Wagner practices in Staten Island, NY and has the professional credentials of RN. The NPI Number for Candice Ashley Wagner is 1538052113 and holds a License No. 717701 (NY). The current practice location address for Candice Ashley Wagner is 80 Willowbrook CT, Staten Island, NY 10302-2402 and can be reached out via phone at 718-981-0502.
Provider Profile Details
- NPI Number
- 1538052113
- Provider Name
- Candice Ashley Wagner
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 Willowbrook CT, Staten Island, NY 10302-2402
- Phone Number
- 718-981-0502
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Other Names
- Mrs. Candice Ashley Woods, RN (Other Name)
- Provider Enumeration Date
- June 2, 2025
- Last Update Date
- June 2, 2025
- Certification Date
- May 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Willowbrook CT
Staten Island, NY 10302-2402 - City
- Staten Island
- State
- New York
- Zip
- 10302-2402
- Phone Number
- 718-981-0502
Provider Business Mailing Address Details
- Address
- 17 Timothy Ln
Tinton Falls, NJ 07724-3133 - City
- Tinton Falls
- State
- NJ
- Zip
- 07724-3133
- Phone Number
- 347-703-9010
License Information
- License Number
- 717701
- License State
- NY
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near Staten Island, NY
View all Registered Nurses in Staten Island →Frequently Asked Questions
What is the NPI number of Mrs. Candice A Wagner, RN?
The NPI number of Mrs. Candice A Wagner, RN is 1538052113. It was assigned on June 2, 2025 and is currently active in the NPPES registry.
What is the specialty of Mrs. Candice A Wagner, RN?
Mrs. Candice A Wagner, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 717701.
Where does Mrs. Candice A Wagner, RN practice?
The practice location is 80 Willowbrook CT, Staten Island, NY 10302-2402. The office can be reached at 718-981-0502 (phone).
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 1538052113 directly on the NPPES registry website.