Individual
SARAH WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10941 RAVEN RIDGE RD STE 103, RALEIGH, NC 27614-6487
(919) 870-6066
Mailing address
1041 SIDNEY CREEK DR, ZEBULON, NC 27597-4444
(252) 808-5490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018910
NC
Other
Enumeration date
09/29/2023
Last updated
01/29/2026
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