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MARY G WAGONER ARNP
NPI 1215227426
Nurse Practitioner - Pediatrics in Lakeland, FL

Active since April 10, 2011
5950 S FLORIDA AVE, LAKELAND, FL 33813(407) 438-3557(407) 438-3558 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary G Wagoner Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY G WAGONER ARNP (NPI 1215227426) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (ARNP9232495) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1215227426
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY G WAGONERCredential: ARNP
Location Address5950 S FLORIDA AVELakeland, FL 33813-2532
Mailing Address5950 S Florida AveLakeland, FL 33813-2532 · (407) 438-3557 · Fax (407) 438-3558
Phone(407) 438-3557
Fax(407) 438-3558
Sole ProprietorNo
Enumeration DateApril 10, 2011
Last NPPES UpdateMay 29, 2015
✔ NPI 1215227426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP9232495
5950 S FLORIDA AVE, Lakeland, FL 33813
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YESENIA RAMOS M.D.
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
MR. RODNEY L SNOW ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
JANELLE O THOMAS ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
LAKESIDE PEDIATRICS
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
LAKESIDE PEDIATRICS SOUTH
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 619-8441
ANNETTE CHILTON
Lactation Consultant, Non-RN
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
JILL CRUTCHER ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
MRS. SHANNON M HINCKLEY ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 619-8441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wagoner's NPI number?

The NPI number for Mary Wagoner is 1215227426. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Where is Mary Wagoner located?

Mary Wagoner practices at 5950 S Florida Ave, Lakeland, FL 33813. The listed phone number is (407) 438-3557.

What is Mary Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Wagoner was last updated on May 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.