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Zackery Wagner
NPI 1720774177 · Nurse's Aide · Enumclaw, WA
Zackery Wagner is a Nurse's Aide provider in Enumclaw, WA (NPI 1720774177).
Provider details
- NPI number
- 1720774177
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- NA61270089 (WA)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2323 Jensen St
Enumclaw, WA 98022-3605
Phone: (360) 825-2541
Street-level locationGet directions
Mailing address
Po Box 1287
Buckley, WA 98321-1287
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
- Certified
- 2023-04-17
Frequently asked questions
- What is Zackery Wagner's NPI number?
- Zackery Wagner's National Provider Identifier (NPI) is 1720774177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Zackery Wagner's specialty?
- Zackery Wagner is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).
- Where is Zackery Wagner located?
- Zackery Wagner's practice location on file with NPPES is 2323 Jensen St, Enumclaw, WA 98022-3605.
- What is Zackery Wagner's phone number?
- The practice phone number listed in the NPPES registry for Zackery Wagner is (360) 825-2541.
- Is Zackery Wagner's NPI active?
- Yes — Zackery Wagner's NPI (1720774177) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.