Individual
OLIVIA NICOLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14 MAPLE ST STE 210, GILFORD, NH 03249-6580
(603) 527-7114
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 227-7000
(352) 556-4889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11010750
FL
Other
Enumeration date
07/29/2021
Last updated
06/10/2025
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