IndividualActive
Laural Wagley, NP
NPI 1497065635 · Family Nurse Practitioner · Clinton Twp, MI
Provider details
- NPI number
- 1497065635
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704207208 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone: (800) 653-6568
Fax: (313) 876-1305
Approximate (ZIP-level) locationGet directions
Mailing address
15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.