Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ANN WAGAMAN, D.O.
ActiveNICOLE ANN WAGAMAN, D.O. is a Spinal Cord Injury Medicine healthcare provider located in DES MOINES, Iowa. NPI 1689011405 is currently active in the NPPES registry. Verify at CMS.
Spinal Cord Injury Medicine · DES MOINES, IA
Registration Details
- NPI Number
- 1689011405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2013 (13.01510694962 yrs)
- Last Updated
- Aug 13, 2024
- Licenses
-
R-9752 (IA)67461 (WI)87896 (SC)331223 (LA)DO-05546 (IA)
Practice Information
- Address
-
1200 PLEASANT STDES MOINES, IA, 503091406Browse IA providers · Browse ZIP 50309
- Phone
- 5152416907
- Primary Specialty
-
Spinal Cord Injury Medicine
2081P0004X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Spinal Cord Injury Medicine
- Additional Specialty
- Spinal Cord Injury Medicine
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.