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

Kayla Wagner, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1770027849

Kayla Wagner, CPNP-PC is a Pediatric Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

4600 Broadway
New York, NY 10040-2102
Phone: (212) 949-4957
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382700 (NY)

Record details

NPI number1770027849
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 11, 2016

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