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

Individual provider Nurse Practitioner · NPI 1740397041

Kathleen Mary Wagner, ARNP is a Nurse Practitioner in Melbourne, Florida. Licensed in Florida and Washington. Registered with an NPI since 2006.

Licensed in
FL, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone: (321) 725-4500
Fax: (321) 722-1237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence ARNP9333175 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence AP30000510 (WA)

Record details

NPI number1740397041
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESSeptember 7, 2012

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