LAURIE A WAGNER CRNA
NPI 1063480879
Nurse Anesthetist, Certified Registered in Albuquerque, NM

Q: What is Laurie Wagner's NPI number?

The NPI number for Laurie Wagner is 1063480879. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Laurie Wagner's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Wagner was last updated on July 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 08, 2006

4401 MASTHEAD ST NE, SUITE 120, ALBUQUERQUE, NM 87109(505) 243-7729(505) 243-4804 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Laurie A Wagner Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE A WAGNER CRNA (NPI 1063480879) is an individual nurse anesthetist, certified registered in Albuquerque, New Mexico, licensed in New Mexico (R32370) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063480879

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLAURIE A WAGNERCredential: CRNA

Location Address4401 MASTHEAD ST NE, SUITE 120Albuquerque, NM 87109-4493

Mailing AddressPo Box 30585Albuquerque, NM 87190-0585 · (505) 243-7729 · Fax (505) 243-4804

Phone(505) 243-7729

Fax(505) 243-4804

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 2, 2013

✔ NPI 1063480879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NM · R32370

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4401 MASTHEAD ST NE, Albuquerque, NM 87109

Open in Google Maps ↗