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

Kimberly Wanner, AGNP

Individual provider Nurse Practitioner · NPI 1235678087

Kimberly Wanner, AGNP is a Nurse Practitioner in Newark, Delaware. Qualified in 2016, 10 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
10
Licensed in
DE
In the registry since
2017
Specialties on file
3
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4735 Ogletown Stanton Rd Medical Arts Pavilion 2 Ste 3301
Newark, DE 19713-2072
Phone: (302) 623-4370
Fax: (302) 623-4375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence LP-0000194 (DE)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence LP-0000194 (DE)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence LP-0000194 (DE)

Record details

NPI number1235678087
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017
Mailing address200 Hygeia Dr, Suite 2300, Newark, DE 19713-2049

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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