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

Kristin Wagoner, RN

Individual provider Registered Nurse · NPI 1750790697

Kristin Wagoner, RN is a Registered Nurse in Modesto, California. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2701 Fine Ave
Modesto, CA 95355-9773
Phone: (314) 698-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2012009946 (MO)

Record details

NPI number1750790697
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 5, 2014
Last updated in NPPESAugust 5, 2014
Mailing address2701 Fine Ave, Modesto, CA 95355-9773

Other providers in Modesto