Search › Minnesota › 101YP2500X
Corilyn Wagner
NPI 1831028174 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1129 Grand Ave
Saint Paul, MN 55105 - Phone
- (612) 619-7611
- Fax
- (651) 964-4748
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota