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LAURA ANN WAGNER
NPI 1679079719
Clinical Exercise Physiologist in Meridian, ID

Active since April 05, 2018
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642(208) 706-7050 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Ann Wagner NPPES

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

LAURA ANN WAGNER (NPI 1679079719) is an individual clinical exercise physiologist provider in Meridian, Idaho and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1679079719
Entity TypeIndividualFemale
Primary Taxonomy224Y00000X
Provider Legal NameLAURA ANN WAGNER
Location Address3525 E LOUISE DR STE 500Meridian, ID 83642-6305
Mailing Address3525 E Louise Dr Ste 500Meridian, ID 83642-6305
Phone(208) 706-7050
Sole ProprietorNo
Enumeration DateApril 5, 2018
✔ NPI 1679079719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
3525 E LOUISE DR STE 500, Meridian, ID 83642
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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.

KATE HECKENDORN
Clinical Exercise Physiologist
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
VANESSA R HOLSTINE NP
Nurse Practitioner
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
MISS KIMBERLY A KLEAVELAND FNP
Nurse Practitioner (Family)
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
KAMERON K BARNETT OT
Occupational Therapist
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
MARK MCLAUGHLIN
Registered Nurse (Cardiac Rehabilitation)
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
MARY CHRISTINE GILBERT RN
Registered Nurse
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-8050
DEREK EARL KYGAR MS
Clinical Exercise Physiologist
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050
MR. CHAUNCE DOLAN RN
Registered Nurse (Cardiac Rehabilitation)
3525 E LOUISE DR STE 500
MERIDIAN, ID 83642
Ada County (208) 706-7050

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 Laura Wagner's NPI number?

The NPI number for Laura Wagner is 1679079719. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Laura Wagner located?

Laura Wagner practices at 3525 E Louise Dr Ste 500, Meridian, ID 83642. The listed phone number is (208) 706-7050.

What is Laura Wagner's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Laura Wagner was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.