person
Mrs. Leilani Lynn Wagner, FNP-BC
Occupational Health Nurse Practitioner in Modesto, California
NPI 1689914798

Leilani Lynn Wagner is a Occupational Health Nurse Practitioner based in Modesto, CA and is specialized in Occupational Health. Leilani Lynn Wagner practices in Modesto, CA and has the professional credentials of FNP-BC. The NPI Number for Leilani Lynn Wagner is 1689914798 and holds a License No. RN966643 (California).

The current practice location address for Leilani Lynn Wagner is 1800 Coffee Road Suite 37, Modesto, CA and can be reached out via phone at 209-572-7136 and via fax at 209-491-7595.

Location: 1800 Coffee Road Suite 37, Modesto, CA, 95355
person
Provider Profile Details
NPI Number
1689914798
Provider Name
Leilani Lynn Wagner
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1800 Coffee Road Suite 37, Modesto, CA, 95355
Phone Number
209-572-7136
Fax Number
209-491-7595
Provider Enumeration Date
02/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Coffee Road Suite 37
City
State
Zip
95355
Phone Number
209-572-7136
Fax Number
209-491-7595
person
Provider Business Mailing Address Details
Address
1800 Coffee Road Suite 37
City
State
Zip
95355
Phone Number
209-572-7136
Fax Number
209-491-7595
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95001675 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Occupational Health
Taxonomy
License No.
RN966643 (District of Columbia)
Definition
Definition to come...
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