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NPI 1740953660

Elizabeth Wagoner, APRN

Nurse Practitioner, Family · Palm Beach Gardens, FL

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 2:15 am EDT

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Elizabeth Wagoner, APRN is a health care provider (Nurse Practitioner, Family) in Palm Beach Gardens, Florida with National Provider Identifier (NPI) 1740953660. The NPI was issued on Jul 27, 2021 and the registry record was last updated on Jul 1, 2024. The registry lists a license in Florida.

Registry record

NPI
1740953660
Type
Individual (NPI-1), sole proprietor
Primary specialty
Nurse Practitioner, Family 363LF0000X
Practice location
3375 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4360
Phone
(561) 622-3618
NPI issued
Jul 27, 2021
Registry record updated
Jul 1, 2024

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Nurse Practitioner, Family Primary363LF0000XFlorida11014158

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Family Nurse Practitioner providers in Florida

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.