Martha Laine Wagoner FNP

  • 1497129563 NPI Number
  • |
  • Actived: 3 years ago
  • |
According to our database, NPI number for Martha Laine Wagoner FNP is 1497129563 and actived since Monday, November 30 2015. Martha Laine Wagoner FNP is an individual provider specializes in Family, primary practice location is 2102 Otranto Blvd, North Charleston, SC 29406. You can also contact Martha Laine Wagoner FNP via telephone number is (843) 569-2225. Provider NPI information was last updated on 11/30/2015.

Recently Active NPIs

Overview of Martha Laine Wagoner FNP

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Family
  • Gender: Female
  • Active since: 11/30/2015
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 19800
  • License State: SC

Provider Mailing Address

  • Address: 1010 River Haven Cir
    Apt A
    Charleston, SC 29412
  • Phone: 731-610-6718
  • Fax:

Provider Practice Location

  • Address: 2102 Otranto Blvd
    North Charleston, SC 29406
  • Phone: 843-569-2225
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 19800
  • License State: SC
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Martha Laine Wagoner FNP?
  • A: The npi number for Martha Laine Wagoner FNP is 1497129563.
  • Q: What are Martha Laine Wagoner FNP's specialties?
  • A: Martha Laine Wagoner FNP's specialties are Family and different specialities.
  • Q: What is the medical license for Martha Laine Wagoner FNP?
  • A: The medical license number for Martha Laine Wagoner FNP is 19800 and issued in SC in USA.
  • Q: Where is Martha Laine Wagoner FNP practice location?
  • A: Martha Laine Wagoner FNP is practicing at 2102 Otranto Blvd, North Charleston, SC 29406.
  • Q: How to contact Martha Laine Wagoner FNP?
  • A: You can contact Martha Laine Wagoner FNP via 843-569-2225.