MEDICARE: KATRINA SISTA MARIE WAGNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1437086188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA SISTA MARIE WAGNER

Provider Business Mailing Address
First Line	:	1611 PENINSULA DR
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-9658
Country	:	US
Telephone Number	:	707-832-4194
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 PENINSULA DR
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-9658
Country	:	US
Telephone Number	:	707-832-4194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

Similar Medicare Providers

1891622544 — JULIA LEVY
Practice Location Address:

1611 PENINSULA DR
ARCATA, CA
95521-9658

Practice Phone: 707-832-4194
Practice Fax:

1366050213 — REDWOOD COAST MONTESSORI
Practice Location Address:

1611 PENINSULA DR
ARCATA, CA
95521-9658

Practice Phone: 707-630-5018
Practice Fax:

1295680932 — ESTHER LUENA HUTTON
Practice Location Address:

1611 PENINSULA DR
ARCATA, CA
95521-9658

Practice Phone: 707-832-4194
Practice Fax: 707-832-4194

1255375036 — SANDRA - FACTOR M.F.T,
Practice Location Address:

1611 PENINSULA DR , SUITE E
MANILA, CA
95521-9658

Practice Phone: 707-616-7428
Practice Fax: 707-677-3241

1841127453 — JACQUELINE LORRAINE FRANCO
Practice Location Address:

1275 8TH ST
ARCATA, CA
95521-5770

Practice Phone: 707-826-8633
Practice Fax: 707-826-6838

1225966591 — SADE ADRIEL BAEZA PEREZ
Practice Location Address:

1858 HAUSER CT APT 5
ARCATA, CA
95521-5663

Practice Phone: 626-384-8830
Practice Fax:

Directions to “ KATRINA SISTA MARIE WAGNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.