Individual
MRS. KRISTIN DIANE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
915 W MAPLE, COLUMBUS, KS 66725
(620) 429-4988
(620) 429-4978
Mailing address
915 W MAPLE ST, COLUMBUS, KS 66725-1508
(620) 429-4988
(620) 429-4978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013007658
MO
363LF0000X
Family Nurse Practitioner
53-75551-121
KS
363LF0000X
Family Nurse Practitioner
53-75551-21
KS
Other
Enumeration date
12/14/2011
Last updated
03/26/2026
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