Wagner, Leilani Lynn

Wagner, Leilani Lynn is an individual health care provider with primary practice located at 1800 Coffee Road Suite 37 , Modesto CA 95355. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Occupational Health is her primary health care specialty. Wagner, Leilani Lynn can be contacted via phone (209) 572-7136.

Contact Information

Primary practice address
1800 Coffee Road Suite 37 Modesto CA 95355
Phone: (209) 572-7136
Fax: (209) 491-7595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN966643 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 95001675 California

Profile Details

NPI number 1689914798
LBN Legal business name Wagner, Leilani Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Aug 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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