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

Keisha Lynn Wagner

Individual provider Family Nurse Practitioner · NPI 1639641889

Keisha Lynn Wagner is a Family Nurse Practitioner in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

273 Putnam Ave
Brooklyn, NY 11216-1613
Phone: (917) 682-4643
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F343619-1 (NY)

Record details

NPI number1639641889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2018
Last updated in NPPESDecember 28, 2018

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