MISS LACEY ELIZABETH RUTH WAGNER RN
NPI 1275367294
Registered Nurse - School in Davenport, NE

Q: What is Lacey Wagner's NPI number?

The NPI number for Lacey Wagner is 1275367294. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Q: What is Lacey Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Wagner was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 30, 2024

106 N JUNIPER AVE, DAVENPORT, NE 68335(402) 364-2225 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Lacey Elizabeth Ruth Wagner Rn NPPES

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

MISS LACEY ELIZABETH RUTH WAGNER RN (NPI 1275367294) is an individual school provider in Davenport, Nebraska, licensed in Nebraska (78245) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1275367294

Entity TypeIndividualFemale

Primary Taxonomy163WS0200X

Provider Legal NameMISS LACEY ELIZABETH RUTH WAGNERCredential: RN

Location Address106 N JUNIPER AVEDavenport, NE 68335-3010

Mailing AddressPo Box 273Bruning, NE 68322-0273 · (402) 759-2742

Phone(402) 364-2225

Sole ProprietorNo

Enumeration DateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1275367294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers

Taxonomy Code163WS0200X

License✔ Licensed in NE · 78245

106 N JUNIPER AVE, Davenport, NE 68335

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Other Providers at the Same Location NPPES 2

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

BRUNING-DAVENPORT UNIFIED SCHOOL DISTRICT

Local Education Agency (LEA)

106 N JUNIPER AVE
DAVENPORT, NE 68335

Thayer County (402) 364-2225

ANGELA KARA BRASE RN

Registered Nurse (School)

106 N JUNIPER AVE
DAVENPORT, NE 68335

Thayer County (402) 364-2225

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 Lacey Wagner's NPI number?

The NPI number for Lacey Wagner is 1275367294. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Lacey Wagner located?

Lacey Wagner practices at 106 N Juniper Ave, Davenport, NE 68335. The listed phone number is (402) 364-2225.

What is Lacey Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Lacey Wagner was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.