Individual
REGINA L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N 60TH ST BLDG C, OMAHA, NE 68104-3402
(402) 552-7010
(402) 934-8804
Mailing address
3300 N 60TH ST BLDG C, OMAHA, NE 68104-3402
(402) 552-7010
(402) 934-8804
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
116146
NE
Other
Enumeration date
10/15/2025
Last updated
04/07/2026
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