NPI 1346754249

Lisa Marie Wagner, APNNPC

Practitioner Family Nurse Practitioner Basalt, CO

Practice location

Address: 249 Kodiak Dr Unit 201, Basalt, CO 81621-8140
Phone: (970) 618-8796
Fax: (970) 645-3168

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APN.0993561-NP (CO)

Other Nurse Practitioner providers in Colorado →

Registry record

NPI: 1346754249
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2017
Record last updated: 7 May 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.