Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyler Wagner, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588577498

Tyler Wagner, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1330 Page Dr S Ste 102B
Fargo, ND 58103-3562
Phone: (701) 414-4596
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 206041 (ND)

Record details

NPI number1588577498
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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