MRS. NICOLE L WAGSTROM PCC
NPI 1790814937
Counselor - Professional in Xenia, OH
About Mrs. Nicole L Wagstrom Pcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE L WAGSTROM PCC (NPI 1790814937) is an individual professional provider in Xenia, Ohio, licensed in Ohio (8377) and active in the NPI registry since March 2007.
NPPES Registry Identity
Specialties & Licenses
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 Nicole Wagstrom's NPI number?
The NPI number for Nicole Wagstrom is 1790814937. It was assigned to this individual provider in the NPPES registry on March 5, 2007.
Where is Nicole Wagstrom located?
Nicole Wagstrom practices at 2000 Red Robin Dr N, Xenia, OH 45385. The listed phone number is (937) 718-3317.
What is Nicole Wagstrom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Nicole Wagstrom was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.