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MS. PEGGY LYNN WAGNER APN
NPI 1699932665
Nurse Practitioner - Family in Rockford, IL

Active since May 19, 2008
2850 GLENWOOD AVE, REACT, ROCKFORD, IL 61101(815) 971-4750(815) 971-4120 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Peggy Lynn Wagner Apn NPPES

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

MS. PEGGY LYNN WAGNER APN (NPI 1699932665) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.002671) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1699932665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. PEGGY LYNN WAGNERCredential: APN
Location Address2850 GLENWOOD AVE, REACTRockford, IL 61101-3543
Mailing Address2820 Glenwood Ave, ReactRockford, IL 61007 · (815) 971-4750 · Fax (815) 971-4120
Phone(815) 971-4750
Fax(815) 971-4120
Sole ProprietorNo
Enumeration DateMay 19, 2008
✔ NPI 1699932665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.002671
2850 GLENWOOD AVE, Rockford, IL 61101
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Other Providers at the Same Location NPPES

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

LIFENET, INC
Ambulance (Air Transport)
2850 GLENWOOD AVE
ROCKFORD, IL 61101
Winnebago County (909) 915-2315

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 Peggy Wagner's NPI number?

The NPI number for Peggy Wagner is 1699932665. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Peggy Wagner located?

Peggy Wagner practices at 2850 Glenwood Ave React, Rockford, IL 61101. The listed phone number is (815) 971-4750.

What is Peggy Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peggy Wagner was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.