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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. MARY CLAIRE WAGNER ICEA BIRTH DOULA
NPI 1720994494
Doula in Niles, MI

Active since August 21, 2026
11287 PUCKER ST, NILES, MI 49120(269) 362-4306 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Mary Claire Wagner Icea Birth Doula NPPES

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

MRS. MARY CLAIRE WAGNER ICEA BIRTH DOULA (NPI 1720994494) is an individual doula in Niles, Michigan and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1720994494
Entity TypeIndividualFemale
Primary Taxonomy374J00000X
Provider Legal NameMRS. MARY CLAIRE WAGNERCredential: ICEA BIRTH DOULA
Location Address11287 PUCKER STNiles, MI 49120-9036
Mailing Address11287 Pucker StNiles, MI 49120-9036 · (269) 362-4306
Phone(269) 362-4306
Sole ProprietorYes
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1720994494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDoulaNursing Service Related Providers
Taxonomy Code374J00000X
Definition
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
11287 PUCKER ST, Niles, MI 49120
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wagner's NPI number?

The NPI number for Mary Wagner is 1720994494. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Mary Wagner located?

Mary Wagner practices at 11287 Pucker St, Niles, MI 49120. The listed phone number is (269) 362-4306.

What is Mary Wagner's specialty?

The primary specialty registered for this NPI is Doula with taxonomy code 374J00000X.

When was this NPI record last updated?

The NPPES record for Mary Wagner was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.