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LISA WAGNER NP
NPI 1083824593
Nurse Practitioner - Acute Care in New York, NY

Active since May 23, 2007
1250 BROADWAY, 17TH FLOOR, VISITING NURSE SERVICE OF NEW YORK, NEW YORK, NY 10001(212) 465-2751 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Wagner Np NPPES

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

LISA WAGNER NP (NPI 1083824593) is an individual acute care provider in New York, New York, licensed in New York (430343) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1083824593
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA WAGNERCredential: NP
Location Address1250 BROADWAY, 17TH FLOOR, VISITING NURSE SERVICE OF NEW YORKNew York, NY 10001
Mailing Address170 E 87th St, Ph2bNew York, NY 10128-2214 · (917) 492-8702 · Fax (917) 492-8702
Phone(212) 465-2751
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 22, 2014
✔ NPI 1083824593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 430343
1250 BROADWAY, 17TH FLOOR, New York, NY 10001
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Other Identifiers 1

OtherLW385602NY · Nys Health Commerce System

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 Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1083824593. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Lisa Wagner located?

Lisa Wagner practices at 1250 Broadway, 17th Floor Visiting Nurse Service Of New York, New York, NY 10001. The listed phone number is (212) 465-2751.

What is Lisa Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.