Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elise Wagner, FNP-C

Individual provider Nurse Practitioner · NPI 1073424180

Elise Wagner, FNP-C is a Nurse Practitioner in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2559 Mona Ave
Charleston, SC 29414-6414
Phone: (843) 226-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32792 (SC)

Record details

NPI number1073424180
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2026
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 2, 2026

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