Courtney Lee Wagner in Fort Walton Beach - Licensed Practical Nurse
Courtney Lee Wagner - NPI 1295914331
Courtney Lee Wagner is a Licensed Practical Nurse in Fort Walton Beach, Florida. Courtney Lee Wagner practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Courtney Lee Wagner is 1295914331. The last update date is 2007-10-25.
Courtney Lee Wagner's current location address is 221 Hospital Dr Ne, Fort Walton Beach, Florida. You can contact this provider via phone number 8508339240. The mailing address for Courtney Lee Wagner is 221 Hospital Dr Ne, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Lee Wagner |
|---|---|
| Address | 221 Hospital Dr Ne, Fort Walton Beach, Florida |
| Phone Number | 8508339240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1295914331 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 221 Hospital Dr Ne |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325485066 |
| Phone Number | 8508339240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN5178468 |
|
Definition: An individual 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 r |
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Post Comment/ Review Below
What is the unique identifier code issued to Courtney Lee Wagner by the Centers for Medicare & Medicaid Services?
The Courtney Lee Wagner has been assigned the NPI (National Provider Identifier) 1295914331. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Courtney Lee Wagner is geographically located?
The Courtney Lee Wagner is physically situated at the following location: 221 Hospital Dr Ne, Fort Walton Beach, FL, 325485066.
What is Courtney Lee Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Courtney Lee Wagner is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295914331 to Courtney Lee Wagner?
The Centers for Medicare & Medicaid Services originally issued the 1295914331 to Courtney Lee Wagner on 2007-10-25.
When was the information regarding Courtney Lee Wagner most recently updated?
The details pertaining to the Courtney Lee Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-10-25.
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