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

Mrs. Eileen Roberta Wagner, BSNRN

Individual provider Registered Nurse · NPI 1679650584

Mrs. Eileen Roberta Wagner, BSNRN is a Registered Nurse in Saint James, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

152 Northern Blvd
Saint James, NY 11780-2823
Phone: (631) 584-6619
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 314855-1 (NY)

Record details

NPI number1679650584
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNRN
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address152 Northern Blvd, Saint James, NY 11780-2823

Other providers in Saint James