MRS. LEILANI LYNN WAGNER FNP-BC
NPI 1689914798
Nurse Practitioner - Occupational Health in Modesto, CA

Q: What is Leilani Wagner's NPI number?

The NPI number for Leilani Wagner is 1689914798. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Q: What is Leilani Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Q: When was this NPI record last updated?

The NPPES record for Leilani Wagner was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 26, 2013

1800 COFFEE ROAD SUITE 37, MODESTO, CA 95355(209) 572-7136(209) 491-7595 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Leilani Lynn Wagner Fnp-bc NPPES

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

MRS. LEILANI LYNN WAGNER FNP-BC (NPI 1689914798) is an individual occupational health provider in Modesto, California, licensed in California (95001675) and active in the NPI registry since February 2013. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1689914798

Entity TypeIndividualFemale

Primary Taxonomy363LX0106X

Provider Legal NameMRS. LEILANI LYNN WAGNERCredential: FNP-BC

Location Address1800 COFFEE ROAD SUITE 37Modesto, CA 95355

Mailing Address1800 Coffee Road Suite 37Modesto, CA 95355 · (209) 572-7136 · Fax (209) 491-7595

Phone(209) 572-7136

Fax(209) 491-7595

Sole ProprietorNo

Enumeration DateFebruary 26, 2013

Last NPPES UpdateAugust 7, 2019

✔ NPI 1689914798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0106X

License✔ Licensed in CA · 95001675

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN966643 (DC)

1800 COFFEE ROAD SUITE 37, Modesto, CA 95355

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Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010 · Phone (202) 476-2035 ext. 4678 · Fax (202) 476-2039

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 Leilani Wagner's NPI number?

The NPI number for Leilani Wagner is 1689914798. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Where is Leilani Wagner located?

Leilani Wagner practices at 1800 Coffee Road Suite 37, Modesto, CA 95355. The listed phone number is (209) 572-7136.

What is Leilani Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

When was this NPI record last updated?

The NPPES record for Leilani Wagner was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.