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

Nolan Wagner, LAT

Individual provider Athletic Trainer · NPI 1053039016

Nolan Wagner, LAT is an Athletic Trainer in Green Bay, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone: (920) 430-4888
Show map & directions

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

Additional practice locations (1)

  • 1415 E Walnut St, Green Bay, WI 54301-4305 — (920) 448-2090

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2289-39 (WI)

Record details

NPI number1053039016
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedAugust 16, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address6700 County Road J, Sturgeon Bay, WI 54235-9336

Other providers in Green Bay