Provider Demographics
NPI:1932095692
Name:WAGG, SHERI LYNN (FNP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:WAGG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:AMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:96 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4757
Mailing Address - Country:US
Mailing Address - Phone:207-513-7781
Mailing Address - Fax:
Practice Address - Street 1:12 HIGH ST STE 400
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7690
Practice Address - Country:US
Practice Address - Phone:207-795-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN55927163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse