Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Marie A Wagner

Individual provider Contractor · NPI 1184895070

MS. Marie A Wagner is a Contractor in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

365 SW Log Dr
Port Saint Lucie, FL 34953-7501
Phone: (772) 785-6473
Fax: (772) 408-0998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 19-3549-004-08 (FL)

Record details

NPI number1184895070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 18, 2008

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