Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Gale Wagener, PA-C

Individual provider Physician Assistant · NPI 1063711190

Bethany Gale Wagener, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2901 N Classen Blvd Ste 200
Oklahoma City, OK 73106-5493
Phone: (918) 594-1300
Fax: (918) 594-1312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence APA2006 (OK)

Record details

NPI number1063711190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011

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