# DENISE LEA WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831925072
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 29673 | SC | — |
| 367A00000X | Advanced Practice Midwife | 29673 | SC | Yes |
| 367A00000X | Advanced Practice Midwife | B180151 | IA | — |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 04/28/2026