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

Stephanie A Wagner, PNP

Individual provider Nurse Practitioner · NPI 1811430655

Stephanie A Wagner, PNP is a Nurse Practitioner in Louisville, Kentucky. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

411 E Chestnut St # STREET6
Louisville, KY 40202-1713
Phone: (502) 588-3650
Fax: (502) 588-7852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 71006717A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71006717A (IN)

Record details

NPI number1811430655
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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