NPI 1003611120

Eulan Wagner, RN

Practitioner Registered Nurse Kansas City, MO

Practice location

Address: 4801 E Linwood Blvd, Kansas City, MO 64128-2226
Phone: (913) 594-8201

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 13-146510-042 (KS)

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Registry record

NPI: 1003611120
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2025
Record last updated: 13 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.