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

Breanna Wagner

Individual provider Nurse Practitioner · NPI 1790554012

Breanna Wagner is a Nurse Practitioner in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

3333 Burnet Ave Ml 2023
Cincinnati, OH 45229
Phone: (513) 636-4371
Fax: (513) 636-7657
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0035446 (OH)

Record details

NPI number1790554012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESMarch 1, 2024
Certification dateFebruary 22, 2024
Mailing address4975 Twinbrook Ct, Blue Ash, OH 45242-5722

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