Search › Ohio › 101YP2500X
Nicole Wagstrom, PCC
NPI 1790814937 · on the registry since 2007
Practice
- Address
- 2000 Red Robin Dr N
Xenia, OH 45385 - Phone
- (937) 718-3317
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio