IndividualActive
William Wagner, DRNP, LCSW
NPI 1043219587 · Adult Health Nurse Practitioner · Kyle, SD
Provider details
- NPI number
- 1043219587
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DRNP, LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- R055430 (NY)
Practice location
1000 Health Center Road
Kyle Health Center / Dhhs/Ihs
Kyle, SD 57752
Phone: (917) 626-9011
Mailing address
1000 Health Center Road
Kyle, SD 57752
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2016-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.