IndividualActive
Charlyn Wagley
NPI 1174249346 · Clinical Nurse Specialist · Fort Worth, TX
Provider details
- NPI number
- 1174249346
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP131396 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone: (817) 250-3907
Approximate (ZIP-level) locationGet directions
Mailing address
3620 Devon Ct
Bedford, TX 76021-2306
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.