TERESA MOORE WAGNER RN, CDE
NPI 1063572717
Licensed Practical Nurse in Buckeye, WV

Q: What is Teresa Wagner's NPI number?

The NPI number for Teresa Wagner is 1063572717. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Teresa Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Wagner was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 11, 2006

150 DUNCAN ROAD, BUCKEYE, WV 24924(304) 799-7400(304) 799-2276 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teresa Moore Wagner Rn, Cde NPPES

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

TERESA MOORE WAGNER RN, CDE (NPI 1063572717) is an individual licensed practical nurse in Buckeye, West Virginia, licensed in West Virginia (30547) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063572717

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTERESA MOORE WAGNERCredential: RN, CDE

Location Address150 DUNCAN ROADBuckeye, WV 24924-9037

Mailing Address150 Duncan RoadBuckeye, WV 24924-9037 · (304) 799-7400 · Fax (304) 799-2276

Phone(304) 799-7400

Fax(304) 799-2276

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateSeptember 23, 2015

✔ NPI 1063572717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WV · 30547

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.

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 30547 (WV)

150 DUNCAN ROAD, Buckeye, WV 24924

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Other Providers at the Same Location NPPES 3

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

ISAAC G ALEXIS MD

General Practice

150 DUNCAN ROAD
BUCKEYE, WV 24924

Pocahontas County (304) 799-7400

DONNA LIDEL BURLEY MS, FNP-BC

Nurse Practitioner (Family)

150 DUNCAN ROAD
BUCKEYE, WV 24924

Pocahontas County (304) 799-4700

MS. HEATHER MANGELS PACE SLP

Speech-Language Pathologist

150 DUNCAN ROAD
BUCKEYE, WV 24924

Pocahontas County (304) 799-7400

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 Teresa Wagner's NPI number?

The NPI number for Teresa Wagner is 1063572717. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Teresa Wagner located?

Teresa Wagner practices at 150 Duncan Road, Buckeye, WV 24924. The listed phone number is (304) 799-7400.

What is Teresa Wagner'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 Teresa Wagner was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.