MRS. KANDY LYN VAN WAGNER NPI 1366931974

NPI Information

  • NPI: 1366931974
  • Provider Name: MRS. KANDY LYN VAN WAGNER
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 33 RIVER RD
    WHITNEY POINT, NY
    ZIP 13862
  • Phone: (607) 371-1046

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NPI Details

MRS. Kandy Lyn Van Wagner is a licensed practical nurse in Whitney Point, NY. 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. Kandy Lyn Van Wagner NPI is 1366931974. 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:

33 RIVER RD
WHITNEY POINT, NY
ZIP 13862-704
Phone: (607) 371-1046

The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.

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
1164W00000XLicensed Practical Nurse329567NEW YORKYes

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: 11/21/2025

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