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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTHA LAINE WAGONER, FNP

Active

MARTHA LAINE WAGONER, FNP is a Family Nurse Practitioner healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1497129563 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · NORTH CHARLESTON, SC

Registration Details

NPI Number
1497129563
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2015 (10.723812847304 yrs)
Last Updated
Nov 30, 2015
License
19800 (SC)

Practice Information

Address
2102 OTRANTO BLVD
NORTH CHARLESTON, SC, 294069841
Browse SC providers · Browse ZIP 29406
Phone
8435692225
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in NORTH CHARLESTON, SC

Name Credential NPI
MRS. LORI S INFINGER FNP 1245233444
MRS. BERNADETTE YVONNE PINKNEY FNP 1194728659
MRS. SUZAN M KLECKLEY ANP 1649247685
MS. LINDA SUE GIBSON FNP 1467469783
BLANCA LEON POHL APRN 1528182581
MS. SHANNON LINDSEY GAINEY FNP 1780914051
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.