Nichole Wagner, OTD, OTR/L

NPI 1841907300 · on the registry since 2022

Practice

Address: 604 E Ash Ave
Glen Ullin, ND 58631
Phone: (701) 348-3107
Organisation at this address: Marian Manor Healthcare Center
Marian Manor Community Corporation
Marian Manor Community Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-11

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 North Dakota