IndividualActive
Elizabeth Wagner, RN, MSN, CPNP-AC
NPI 1477596468 · Critical Care Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1477596468
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 41272234 (IL)
Practice location
2525 Chicago Ave # Ms 324203
Minneapolis, MN 55404-4518
Phone: (126) 813-7336
Fax: (612) 813-7660
Mailing address
1019 Danube Ave
Shakopee, MN 55379-4636
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.