IndividualActive
Leilani Wagner, FNP-BC
NPI 1689914798 · Occupational Health Nurse Practitioner · Modesto, CA
Provider details
- NPI number
- 1689914798
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN966643 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1800 Coffee Road Suite 37
Modesto, CA 95355
Phone: (209) 572-7136
Fax: (209) 491-7595
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Coffee Road Suite 37
Modesto, CA 95355
Additional practice locations (1)
- 111 Michigan Ave NwWashington, DC 20010Phone: (202) 476-2035Fax: (202) 476-2039
Registry dates
- Enumerated
- 2013-02-26
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.