What is Ebony Wagner's NPI number?

Ebony Wagner's National Provider Identifier (NPI) is 1417402397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ebony Wagner's specialty?

Ebony Wagner is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Ebony Wagner located?

Ebony Wagner's practice location on file with NPPES is 2325 Patterson Rd, Florissant, MO 63031-2205.

What is Ebony Wagner's phone number?

The practice phone number listed in the NPPES registry for Ebony Wagner is (314) 620-5553.

Is Ebony Wagner's NPI active?

Yes — Ebony Wagner's NPI (1417402397) is active in the NPPES registry as of the last update on 2016-08-19.

IndividualActive

Ebony Wagner

NPI 1417402397 · Licensed Practical Nurse · Florissant, MO

Ebony Wagner is a Licensed Practical Nurse provider in Florissant, MO (NPI 1417402397).

Provider details

NPI number: 1417402397
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 2013023536 (MO)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 2013023536 (MO)
Nursing Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2325 Patterson Rd

Florissant, MO 63031-2205

Phone: (314) 620-5553

Fax: (314) 584-5002

Street-level locationGet directions

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Mailing address