MICHELLE DIANE WAGGONER LPN
NPI 1124585641
Licensed Practical Nurse in Dayton, OH

Active since February 21, 2019
8120 GARNET DR, DAYTON, OH 45458(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2019, Feb 21, 2019 (2 updates tracked since 2019).

  • Individual
  • Female
  • Licensed Practical Nurse

About MICHELLE WAGGONER

This page provides the complete NPI Profile along with additional information for Michelle Waggoner, a provider established in Dayton, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1124585641 assigned on February 2019. The practitioner's primary taxonomy code is 164W00000X with license number LPN.130695.MEDS-IV (OH). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1124585641 Verify this NPI
Provider Name
MICHELLE DIANE WAGGONER LPN
Gender
Female
Entity Type
Individual
Location Address
8120 GARNET DR DAYTON, OH 45458
Location Phone
(513) 834-7063
Location Fax
(513) 873-1567
Mailing Address
446 MORGAN ST CINCINNATI, OH 45206
Mailing Phone
(513) 834-7063
Mailing Fax
(513) 873-1567
Is Sole Proprietor?
No
Enumeration Date
02-21-2019
Last Update Date
12-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
LPN.130695.MEDS-IV
License State
OH
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
8120 GARNET DR
DAYTON, OH 45458
Occupational Therapist
8120 GARNET DR
DAYTON, OH 45458
Clinic/Center (Pain)
8120 GARNET DR
DAYTON, OH 45458
Massage Therapist
8120 GARNET DR
DAYTON, OH 45458
Family Medicine
8120 GARNET DR
DAYTON, OH 45458
Mechanotherapist
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Counselor (Addiction (Substance Use Disorder))
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Family Medicine (Addiction Medicine)
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
CENTERVILLE, OH 45458
Social Worker
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Counselor (Addiction (Substance Use Disorder))
8120 GARNET DR
DAYTON, OH 45458
Nurse Practitioner
8120 GARNET DR
DAYTON, OH 45458
Registered Nurse
8120 GARNET DR
DAYTON, OH 45458
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124585641, enumerated as an "individual" on February 21, 2019.

The provider is located at 8120 GARNET DR DAYTON, OH 45458 and the phone number is (513) 834-7063.

Licensed Practical Nurse with taxonomy code 164W00000X.