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

Mrs. Nicole Marie Wagner, LSA

Individual provider Surgical Assistant · NPI 1831986017

Mrs. Nicole Marie Wagner, LSA is a Surgical Assistant in Wylie, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

409 Kathy Ln
Wylie, TX 75098-4544
Phone: (817) 897-8481
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00976 (TX)

Record details

NPI number1831986017
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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