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MR. RICKY WAYNE BRAGG LPN NPI 1538671508


NPI Information

NPI: 1538671508
Provider Name: MR. RICKY WAYNE BRAGG, LPN
Classification: Licensed Vocational Nurse - 164X00000X
Entity Type: Individual
Address:
MDIGAN ARMY MEDICAL CENTER
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431
Phone: (253) 968-1110
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MR. Ricky Wayne Bragg, LPN is a licensed vocational nurse in Tacoma, WA. The provider is a licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Ricky Wayne Bragg, LPN NPI is 1538671508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MDIGAN ARMY MEDICAL CENTER
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431-100
Phone: (253) 968-1110

The enumeration date for this NPI number is 10/31/2017 and was last updated on 10/31/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseLP00056294WASHINGTONNo
2164X00000XLicensed Vocational Nurse186791TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.