IndividualActive
Abby Wagstrom, NP-C
NPI 1366827552 · Family Nurse Practitioner · Woodbury, MN
Provider details
- NPI number
- 1366827552
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- CNP 4037 (MN)
Mailing address
1249 Kenilworth Dr
Woodbury, MN 55125-2329
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.