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

MS. Laura Beth Wagner, PA-C

Individual provider Physician Assistant · NPI 1518216332

MS. Laura Beth Wagner, PA-C is a Physician Assistant in Clark, New Jersey. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14 Deerwood Dr
Clark, NJ 07066-2817
Phone: (732) 574-2481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015966 (NY)

Record details

NPI number1518216332
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2012
Last updated in NPPESSeptember 7, 2012

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