MRS. SHERRY DIANE WAGNER LPN NPI 1265548242

NPI Information

NPI: 1265548242
Provider Name: MRS. SHERRY DIANE WAGNER, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
28020 TANNERS RUN RD
RACINE, OH
ZIP 45771
Phone: (740) 949-2059
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MRS. Sherry Diane Wagner, LPN is a licensed practical nurse in Racine, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Sherry Diane Wagner, LPN NPI is 1265548242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28020 TANNERS RUN RD
RACINE, OH
ZIP 45771-753
Phone: (740) 949-2059
Fax: (740) 949-2059

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		PN085949	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2321302	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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