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

Individual provider Family Nurse Practitioner · NPI 1609157569

Phyllis A. Wagner, ARNP is a Family Nurse Practitioner in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

3390 SW 131st Ter
Davie, FL 33330-4618
Phone: (954) 424-0346
Fax: (954) 370-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP 670502 (FL)

Record details

NPI number1609157569
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedSeptember 6, 2011
Last updated in NPPESSeptember 6, 2011
Mailing address3390 Sw 131st Ter, Davie, FL 33330-4618

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