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WANDA LYNN SERMON LPN
NPI 1063100162
Licensed Practical Nurse in Paterson, NJ

Active since April 26, 2023
350 PREAKNESS AVE, PATERSON, NJ 07502(973) 595-1075 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Lynn Sermon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA LYNN SERMON LPN (NPI 1063100162) is an individual licensed practical nurse in Paterson, New Jersey, licensed in New Jersey (26NP07315800) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063100162
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWANDA LYNN SERMONCredential: LPN
Location Address350 PREAKNESS AVEPaterson, NJ 07502-1757
Mailing Address1266 Teaneck Rd Apt 8Teaneck, NJ 07666-4947 · (917) 567-5989
Phone(973) 595-1075
Sole ProprietorNo
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1063100162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NJ · 26NP07315800
Definition
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.
350 PREAKNESS AVE, Paterson, NJ 07502
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERINY SHENODA
Pharmacist
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 595-1075
MS. RITSA SKORDOS
Pharmacist
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 575-1075
MANUEL ZEA PHARM.D.
Pharmacist
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 595-1075
WALGREEN CO
Pharmacy
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 595-1075
MS. KIM PELLEGRINO RPH
Pharmacist
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 595-1075
BENJAMIN JULIUS GURSKY PHARM.D
Pharmacist
350 PREAKNESS AVE
PATERSON, NJ 07502
Passaic County (973) 595-1075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Sermon's NPI number?

The NPI number for Wanda Sermon is 1063100162. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Wanda Sermon located?

Wanda Sermon practices at 350 Preakness Ave, Paterson, NJ 07502. The listed phone number is (973) 595-1075.

What is Wanda Sermon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Wanda Sermon was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.