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

Martha Laine Wagoner, FNP

Individual provider Family Nurse Practitioner · NPI 1497129563

Martha Laine Wagoner, FNP is a Family Nurse Practitioner in North Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

2102 Otranto Blvd
North Charleston, SC 29406-9841
Phone: (843) 569-2225
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19800 (SC)

Record details

NPI number1497129563
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 30, 2015
Last updated in NPPESNovember 30, 2015

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