BREANNA WAGNER
NPI 1083120984
Counselor - Addiction (Substance Use Disorder) in Eden Prairie, MN

Active since December 14, 2017
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344(952) 746-2522 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breanna Wagner NPPES

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

BREANNA WAGNER (NPI 1083120984) is an individual addiction (substance use disorder) provider in Eden Prairie, Minnesota and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1083120984
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBREANNA WAGNER
Location Address11010 PRAIRIE LAKES DR STE 350Eden Prairie, MN 55344-3801
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Sole ProprietorNo
Enumeration DateDecember 14, 2017
NPI 1083120984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11010 PRAIRIE LAKES DR STE 350, Eden Prairie, MN 55344

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Addiction (Substance Use Disorder))
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Addiction (Substance Use Disorder))
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Addiction (Substance Use Disorder))
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Marriage & Family Therapist
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Addiction (Substance Use Disorder))
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Addiction (Substance Use Disorder))
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344
Counselor (Professional)
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Wagner's NPI number?

The NPI number for Breanna Wagner is 1083120984. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Where is Breanna Wagner located?

Breanna Wagner practices at 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344. The listed phone number is (952) 746-2522.

What is Breanna Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Breanna Wagner was last updated on December 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.