Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARIE A WAGNER
Active Sole ProprietorMS. MARIE A WAGNER is a Contractor healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1184895070 is currently active in the NPPES registry. Verify at CMS.
Contractor · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1184895070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 18, 2008 (18.419513381397 yrs)
- Last Updated
- Mar 18, 2008
- License
-
19-3549-004-08 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
365 SW LOG DRPORT SAINT LUCIE, FL, 349537501Browse FL providers · Browse ZIP 34953
- Phone
- 7727856473
- Fax
- 7724080998
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PORT SAINT LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| PARTHIV MOULESHKUMAR PATHAK | PT | 1043548530 |
| JOEL LAURENCEAU | — | 1477151884 |
| MARIE CELESTIN | — | 1154270783 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.