LISA WAGONER - NPI 1679176895 - Technician in Elizabeth, WV

Q: What is Lisa Wagoner's NPI number?

The NPI number for Lisa Wagoner is 1679176895. It was assigned to this individual provider in the NPPES registry on November 19, 2020.

Q: What is Lisa Wagoner's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wagoner was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Wagoner NPPES

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

LISA WAGONER (NPI 1679176895) is an individual personal care attendant in Elizabeth, West Virginia and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1679176895

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameLISA WAGONER

Location Address74 SENIOR CIRCLEElizabeth, WV 26143-2614

Mailing AddressPo Box 370Elizabeth, WV 26143-0370 · (304) 275-3158 · Fax (304) 275-4631

Phone(304) 275-3158

Sole ProprietorNo

Enumeration DateNovember 19, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1679176895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

74 SENIOR CIRCLE, Elizabeth, WV 26143

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