Niki Wagner
NPI #1063380061 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1063380061
- Entity Type
- Individual
- Name
- Niki Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 29, 2025
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 1904 JENNIE LEE DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6159
- Phone
- (208) 974-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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