MS. MARIE A WAGNER NPI 1184895070

NPI Information

  • NPI: 1184895070
  • Provider Name: MS. MARIE A WAGNER
  • Classification: Contractor - 171W00000X
  • Entity Type: Individual
  • Address: 365 SW LOG DR
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Phone: (772) 785-6473

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NPI Details

MS. Marie A Wagner is a contractor in Port Saint Lucie, FL. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. MS. Marie A Wagner NPI is 1184895070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

365 SW LOG DR
PORT SAINT LUCIE, FL
ZIP 34953-501
Phone: (772) 785-6473
Fax: (772) 408-0998

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractor19-3549-004-08FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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