Crystal Dawn Wagner, FNP
Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).
NPI number1316618291
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1316618291
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Crystal Dawn Wagner
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2021
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP024217 | PA | Yes |
Other names
- Crystal Dawn Session (Other Name)
Practice location
1650 Market St Ste 3600Philadelphia, PA 19103-7334
Phone 855-212-2273 · Fax 629-240-6003
Mailing address
5410 Maryland Way Ste 400Brentwood, TN 37027-8087
Phone 855-212-2273
Other practice locations
1181 Freedom Rd
Cranberry Township, PA 16066-4913
Cranberry Township, PA 16066-4913
Phone 724-742-1888
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