MISS VICKEY J WAGNER LPN
NPI 1902954035
Licensed Practical Nurse in Waverly, OH

Active since January 08, 2007
5235 STATE ROUTE 220, WAVERLY, OH 45690(740) 947-5172 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About VICKEY WAGNER

This page provides the complete NPI Profile along with additional information for Vickey Wagner, a provider established in Waverly, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1902954035 assigned on January 2007. The practitioner's primary taxonomy code is 164W00000X with license number PN.120296 IV (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1902954035 Verify this NPI
Provider Name
MISS VICKEY J WAGNER LPN
Gender
Female
Entity Type
Individual
Location Address
5235 STATE ROUTE 220 WAVERLY, OH 45690
Location Phone
(740) 947-5172
Mailing Address
PO BOX 342 WAVERLY, OH 45690
Mailing Phone
(740) 947-5172
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2007
Last Update Date
03-26-2008
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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.
PN.120296 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902954035, enumerated as an "individual" on January 08, 2007.

The provider is located at 5235 STATE ROUTE 220 WAVERLY, OH 45690 and the phone number is (740) 947-5172.

Licensed Practical Nurse with taxonomy code 164W00000X.