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

William Wagoner, FNP

Individual provider Nurse Practitioner · NPI 1710854252

William Wagoner, FNP is a Nurse Practitioner in Fairmont, West Virginia. Qualified in 2025, 1 year ago. Licensed in West Virginia.

Years since qualifying
1
Licensed in
WV
In the registry since
2025
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

1322 Locust Ave
Fairmont, WV 26554-1436
Phone: (304) 366-0700
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 124345 (WV)

Record details

NPI number1710854252
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address107 Cowell St, Westover, WV 26501-3809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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