Martha Laine Wagoner

FNP | Nurse Practitioner - Family

2102 Otranto Blvd, North Charleston
  South Carolina, 29406-9841
843-569-2225
May or may not accept Medicare Nurse Anesthetist in North Charleston, South Carolina.
Martha Laine Wagoner is a North Charleston, South Carolina based nurse practitioner who is specialized as Family nurse. Active license number of Martha Laine Wagoner is 19800 for Family in South Carolina. Her current practice location is 2102 Otranto Blvd, North Charleston. Patients can reach her at 843-569-2225. Martha Laine Wagoner is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1497129563.
Martha Laine Wagoner delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Martha Laine Wagoner speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Martha Laine Wagoner
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: FNP
Practice Address:2102 Otranto Blvd, North Charleston,
South Carolina, 29406-9841
Phone:843-569-2225
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1497129563
NPI Enumeration Date: 30 Nov, 2015
NPI Last Update On: 30 Nov, 2015

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martha Laine Wagoner are as mentioned below.
License NumberSpecializationStateStatus
19800Family South CarolinaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Martha Laine Wagoner
1010 River Haven Cir, Apt A
Charleston, South Carolina
Zip: 29412-4121
Phone Number: 731-610-6718
Patients can reach Martha Laine Wagoner at 2102 Otranto Blvd, North Charleston, South Carolina or can call to book an appointment on 843-569-2225.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.