Individual provider · Type 1 NPI

Susan M. Wagner, ARNP, CRNP, FNP-C

Family Nurse Practitioner · Niceville, FL

NPI number 1811514722 Active

Practice location

4400 E Highway 20 Ste 207
Niceville, FL 32578-7700

Other practice locations

  • 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 · (334) 347-2027

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X1-097016 (AL)
Pediatric Nurse Practitioner 363LP0200X11007696 (FL)
Family Nurse Practitioner Primary 363LF0000X11007696 (FL)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

Other family nurse practitioner providers in Niceville

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About NPI 1811514722

Susan M. Wagner, ARNP, CRNP, FNP-C's National Provider Identifier is 1811514722, issued on Jun 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Niceville, FL. The record was last updated on Aug 3, 2025.