MARTHA LAINE WAGONER FNP
NPI 1497129563
Nurse Practitioner - Family in North Charleston, SC
About Martha Laine Wagoner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA LAINE WAGONER FNP (NPI 1497129563) is an individual family provider in North Charleston, South Carolina, licensed in South Carolina (19800) and active in the NPI registry since November 2015.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
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 Martha Wagoner's NPI number?
The NPI number for Martha Wagoner is 1497129563. It was assigned to this individual provider in the NPPES registry on November 30, 2015.
Where is Martha Wagoner located?
Martha Wagoner practices at 2102 Otranto Blvd, North Charleston, SC 29406. The listed phone number is (843) 569-2225.
What is Martha Wagoner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Martha Wagoner was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
