Nurse Practitioner, Pediatrics
STEPHANIE WAGNER PNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1811430655 · enumerated 2016-11-28 · record updated 2024-11-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 776879, CHICAGO, IL, 60677-6879 (502) 588-9490 Fax (502) 272-5116 Google Maps Apple Maps OpenStreetMap
- Practice location 411 E CHESTNUT ST # STREET6, LOUISVILLE, KY, 40202-1713 (502) 588-3650 Fax (502) 588-7852 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 71006717A IN
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 71006717A IN
Published links
In this directory
KY Jefferson County Louisville Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
LOUISVILLE, KY, 402021713
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.