Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Leilani Lynn Wagner, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1689914798

Mrs. Leilani Lynn Wagner, FNP-BC is a Family Nurse Practitioner in Modesto, California. Works from 2 locations. Licensed in California and District of Columbia.

Licensed in
CA, DC
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1800 Coffee Rd Ste 37
Modesto, CA 95355
Phone: (209) 572-7136
Fax: (209) 491-7595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Michigan Ave Nw, Washington, DC 20010 — (202) 476-2035

Specialties & licences

Occupational Health Nurse Practitioner (primary) Taxonomy 363LX0106X · Licence 95001675 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN966643 (DC)

Record details

NPI number1689914798
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESAugust 7, 2019

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