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LORI J WAGNER FNP
NPI 1114202421
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since October 18, 2011
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0920(602) 933-2492 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lori J Wagner Fnp NPPES

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

LORI J WAGNER FNP (NPI 1114202421) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP4240) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1114202421
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLORI J WAGNERCredential: FNP
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(602) 933-0920
Fax(602) 933-2492
Sole ProprietorNo
Enumeration DateOctober 18, 2011
Last NPPES UpdateMarch 30, 2018
✔ NPI 1114202421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · AP4240
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Other Names 1

Former Name (1)Lori M Wagner

Other Identifiers 1

Medicaid668941AZ

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.

DR. MEHRDAD SHAFA MD
Emergency Medicine (Pediatric Emergency Medicine)
1919 E THOMAS RD, DEPARTMENT OF EMERGENCY MEDICINE
PHOENIX, AZ 85016
Maricopa County (602) 546-1900
JEFFREY R BUCHHALTER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 546-0970
CHILDRENS CRITICAL CARE ASSOCIATES, P.C.
Pediatrics (Pediatric Critical Care Medicine)
1919 E THOMAS RD, SUITE 1891
PHOENIX, AZ 85016
Maricopa County (605) 546-1784
RAYMOND D ADELMAN MD
Pediatrics (Pediatric Nephrology)
1919 E THOMAS RD, BLDG B DEPT OF NEPHROLOGY
PHOENIX, AZ 85016
Maricopa County (602) 546-1000
PAUL V BARANKO MD
Pediatrics (Pediatric Hematology-Oncology)
1919 E THOMAS RD, BLDG B DEPT OF HEMATOLOGY/ONCOLOGY
PHOENIX, AZ 85016
Maricopa County (602) 546-1000
DAVID L WODRICH PH.D.
Clinical Neuropsychologist
1919 E THOMAS RD, BLDG B
PHOENIX, AZ 85016
Maricopa County (602) 546-0486
MATTHEW H WILKINSON M.D.
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 546-1000
JEFFREY C PROUDFOOT D.O.
Pediatrics (Pediatric Emergency Medicine)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 546-1000

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 Lori Wagner's NPI number?

The NPI number for Lori Wagner is 1114202421. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Where is Lori Wagner located?

Lori Wagner practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0920.

What is Lori Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lori Wagner was last updated on March 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.