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

Shannon Michelle Wagner, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1255956512

Shannon Michelle Wagner, REGISTEREDNURSE is a Registered Nurse in Eagle, Colorado. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020

Practice location Address checks out

551 Broadway
Eagle, CO 81631
Phone: (970) 328-8840
Fax: (855) 848-8829
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1625641 (CO)

Record details

NPI number1255956512
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

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