MARCEY LOUISE WAUGH LPN - NPI 1457974669 - Licensed Practical Nurse in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Marcey Louise Waugh Lpn NPPES

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

MARCEY LOUISE WAUGH LPN (NPI 1457974669) is an individual licensed practical nurse in Boise, Idaho, licensed in Idaho (53784) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1457974669

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARCEY LOUISE WAUGHCredential: LPN

Location Address500 W FORT ST BLDG 124Boise, ID 83702-4501

Mailing Address16357 Manatee AveCaldwell, ID 83607-5404 · (360) 584-2338

Phone(208) 422-1000

Sole ProprietorNo

Enumeration DateMay 21, 2020

NPPES CertifiedMay 21, 2020

✔ NPI 1457974669 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 ID · 53784

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.

500 W FORT ST BLDG 124, Boise, ID 83702

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