MS. LAURAL K WAGLEY (NPI# 1497065635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497065635 |
| Entity Type | Individual |
| Full Name | MS. LAURAL K WAGLEY |
| Other Name | MISS LAURAL K SKINNER |
| Credential | NP |
| Practice Address |
1985 Gratiot Blvd Marysville MI 48040-2215 |
| Mailing Address |
Po Box 610669 Port Huron MI 48061-0669 |
| Practice Telephone | 8103640692 |
| Practice Fax Number | 8103640698 |
| Mailing Telephone | 8109851884 |
| Mailing Fax Number | 8109663025 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704207208 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1985 GRATIOT BLVD |
| City | MARYSVILLE |
| State | MI |
| Zip Code | 48040-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275981 | James Sterling Cabeen | Family Medicine | 1985 Gratiot Blvd, Ste 2a, Marysville, MI 48040-2215 | 2005-09-14 |
| 1861002131 | Port Huron Bone and Joint Surgery PC | Orthopaedic Surgery | 1985 Gratiot Blvd, Marysville, MI 48040-2215 | 2020-08-03 |
| 1972899680 | Arunthathi Tabitha Stallwood | Internal Medicine | 1985 Gratiot Blvd, Marysville, MI 48040-2215 | 2011-06-21 |
| 1073841011 | Tynise La'shaie Penn | Nurse Practitioner | 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040-2215 | 2009-12-03 |
| 1295910651 | Derik Scott Evenson | Nurse Practitioner | 1985 Gratiot Blvd, Marysville, MI 48040-2215 | 2008-01-04 |
| 1023297967 | Rigel Galera | Family Medicine | 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040-2215 | 2007-10-28 |
| 1184702375 | Florello Itchon | Family Medicine | 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040-2215 | 2006-11-02 |
| 1518917491 | Amgad Nashed-awad | Family Medicine | 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040-2215 | 2006-05-11 |
| 1790750685 | Mary Cracium | Family Medicine | 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040-2215 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106032 | Sheila Washington | Technician | 1600 Gratiot, Marysville, MI 48040 | 2010-10-22 |
| 1861522666 | Kriste Charlene Hollenbaugh | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-07 |
| 1083760169 | Patrick August Deview | Optometrist | 3160 Gratiot, Marysville, MI 48040 | 2007-01-25 |
| 1346305133 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 205 S Range Rd, Marysville, MI 48040 | 2006-12-22 |
| 1225143514 | City of Marysville | Ambulance | 1355 Delaware Avenue, Marysville, MI 48040 | 2006-08-20 |
| 1033603063 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 205 S Range Rd, Marysville, MI 48040 | 2018-06-22 |
| 1154449635 | Brenda Carolyn Hayden | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-26 |
| 1235696956 | Lisa Curtis | Licensed Practical Nurse | 35 Carolina, Marysville, MI 48040-1011 | 2019-02-28 |
| 1447268529 | Karlene S. Harbour | Social Worker | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-08-04 |
| 1316020688 | Ks Harbour Consulting | Community/Behavioral Health | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-10-23 |
| Find all providers in zip 48040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072963 | Lyndsay Justine Crispin | Nurse Practitioner | 9311 Degood Rd, Marysville, OH 43040-9301 | 2019-09-13 |
| 1386290948 | David Alan Krass IIi | Nurse Practitioner | 3822 116th St Ne, Marysville, WA 98271-8418 | 2019-08-09 |
| 1053975714 | Danielle Holly Quinn | Nurse Practitioner | 3350 Gratiot Blvd Ste A, Marysville, MI 48040-2121 | 2019-04-29 |
| 1457817975 | Ashley White | Nurse Practitioner | 1010 Coventry Pl Apt B, Marysville, OH 43040-9087 | 2019-02-20 |
| 1205377033 | Morgan T. Harmeyer | Nurse Practitioner | 112 Morey Dr Ste B, Marysville, OH 43040-1646 | 2017-03-13 |
| 1184078677 | Krista Finch | Nurse Practitioner | 940 London Ave Ste 1100b, Marysville, OH 43040-8036 | 2016-04-20 |
| 1760665038 | Stephanie Renee Shampel | Nurse Practitioner | 894 Watkins Glen Blvd, Marysville, OH 43040-8489 | 2007-12-10 |
| 1841347952 | Kimberly Lynn Thorley | Nurse Practitioner | 14210 Scottslawn Rd, Marysville, OH 43041-0001 | 2007-01-04 |
| 1548344856 | Barbara Jane Wallner | Nurse Practitioner | 5730 Packard Ave Ste 500, Marysville, CA 95901-7119 | 2006-10-24 |
| 1285682724 | Julie A Sabo | Nurse Practitioner | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2006-05-05 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 48040 |
Please comment or provide details below to improve the information on MS. LAURAL K WAGLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.