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

Madelyn Rose Wagner

Individual provider Peer Specialist · NPI 1417769373

Madelyn Rose Wagner is a Peer Specialist in Woodland, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1729 Lee Dr
Woodland, CA 95776-5134
Phone: (916) 214-4037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7230 S Land Park Dr, Sacramento, CA 95831-3659 — (916) 214-4037

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (CA)

Record details

NPI number1417769373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

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