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

Brooke Marie Wagner, BSN-RN, PHN

Individual provider Community Health Registered Nurse · NPI 1134907710

Brooke Marie Wagner, BSN-RN, PHN is a Community Health Registered Nurse in Crookston, Minnesota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2023.

Licensed in
MN, ND
In the registry since
2023
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Altru Clinic Crookston 400 S Minnesota St
Crookston, MN 56716
Phone: (218) 281-9100
Show map & directions

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

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence 2480220 (MN)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence R48895 (ND)

Record details

NPI number1134907710
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN-RN , PHN
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 14, 2023