Amy Elizabeth Wagar, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

R24687 Issued in ND

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 474-0625

Fax

(808) 471-1855

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750379327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 BANCROFT DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344812",
            "telephone_number": "808-474-0625",
            "fax_number": "808-471-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-474-0625",
            "fax_number": "808-471-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGAR",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "ND",
            "license": "R24687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torrin W Velazquez, M.D.
• Kathleen Julian Vendetta, REGISTERED NURSE
• Ryan Patrick Vienna, MD
• Nicole Sheree Haaheo Vierra
• Elaine R Vowell, D.D.S.
• Amelia Jeanavive Walker, RN
• Robin Michelle Ward, IDC
• Edward T. Waters, MD
• Kathryn Mapes Watts, AU.D.
• Carol Diener Weber, DDS

• Ambulatory Care Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Ambulatory Care Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.