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

Lisa Marie Wagner, APNNP-C

Individual provider Family Nurse Practitioner · NPI 1346754249

Lisa Marie Wagner, APNNP-C is a Family Nurse Practitioner in Basalt, Colorado. Licensed in Colorado. Registered with an NPI since 2017.

Licensed in
CO
In the registry since
2017

Practice location Address checks out

249 Kodiak Dr Unit 201
Basalt, CO 81621-8140
Phone: (970) 618-8796
Fax: (970) 645-3168
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 APN.0993561-NP (CO)

Record details

NPI number1346754249
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNNP-C
Sole proprietorNo
NPI enumeratedNovember 30, 2017
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

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