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
Mailing address365 Sw Log Dr, Port Saint Lucie, FL 34953-7501

Other providers in Port Saint Lucie