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

Mrs. Eileen Roberta Wagner, BSNRN

Individual provider Registered Nurse · NPI 1679650584

Mrs. Eileen Roberta Wagner, BSNRN is a Registered Nurse in Saint James, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

152 Northern Blvd
Saint James, NY 11780-2823
Phone: (631) 584-6619
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 314855-1 (NY)

Record details

NPI number1679650584
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNRN
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

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