Michael David Wagner
MS, RN, CNP, PMHNPBC | Nurse Practitioner
13719 Lapwing Way, Clarksburg
Maryland, 20871-3401
507-696-2157
Michael David Wagner is a Clarksburg, Maryland based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Michael David Wagner is R247240 for Psych/Mental Health in Maryland. His current practice location is 13719 Lapwing Way, Clarksburg. Patients can reach him at 507-696-2157. Michael David Wagner is MS, RN, CNP, PMHNPBC with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1699384958.
Michael David Wagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Michael David Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Michael David Wagner |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | MS, RN, CNP, PMHNPBC |
| Practice Address: | 13719 Lapwing Way, Clarksburg,
Maryland, 20871-3401 |
| Phone: | 507-696-2157 |
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: | 1699384958 |
| NPI Enumeration Date: | 23 Jul, 2020 |
| NPI Last Update On: | 25 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael David Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| R247240 | Psych/Mental Health | Maryland | Primary | |
| 191995-4 | Registered Nurse | Minnesota | Secondary | |
| 7558 | Psych/Mental Health | Minnesota | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael David Wagner
13719 Lapwing Way,
Clarksburg, Maryland |
| Zip: | 20871-3401 |
| Phone Number: | 507-696-2157 |
Patients can reach Michael David Wagner at
13719 Lapwing Way, Clarksburg, Maryland or can
call to book an appointment on 507-696-2157.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.