Pamela E. Wagner, CRNA
Nurse Anesthetist, Certified Registered in Bloomington, MN. Individual provider (NPI-1).
NPI number1104880418
StatusActive
Last updated in NPPESSep 18, 2026
Details
- NPI
- 1104880418
- Entity type
- Individual (NPI-1)
- Name
- Pamela E. Wagner
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2006
- Certification date
- Sep 18, 2026
- Last updated
- Sep 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1267 | MN | Yes |
| 163W00000X | Registered Nurse | 1298824 | MN |
Practice location
8100 Northland DrBloomington, MN 55431-4800
Phone 952-831-8742
Mailing address
8170 33rd Ave SMailstop 21110q
Bloomington, MN 55425-4516
Phone 952-883-6000
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All 37 Certified Registered Nurse Anesthetist providers in Bloomington · All 4,142 providers in Bloomington
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