Sherry Diane Wagner in Racine - Licensed Practical Nurse
Sherry Diane Wagner - NPI 1265548242
Sherry Diane Wagner is a Licensed Practical Nurse in Racine, Ohio. Sherry Diane Wagner practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Sherry Diane Wagner is 1265548242. The last update date is 2007-07-09.
Sherry Diane Wagner's current location address is 28020 Tanners Run Rd, Racine, Ohio. You can contact this provider via phone number 7409492059 and fax number 7409492059. The mailing address for Sherry Diane Wagner is 28020 Tanners Run Rd, Racine, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sherry Diane Wagner |
|---|---|
| Address | 28020 Tanners Run Rd, Racine, Ohio |
| Phone Number | 7409492059 |
| Fax Number | 7409492059 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1265548242 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 28020 Tanners Run Rd |
|---|---|
| City | Racine |
| State | Ohio (OH) |
| Post Code | 457719753 |
| Phone Number | 7409492059 |
| Fax Number | 7409492059 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN085949 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2321302 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sherry Diane Wagner by the Centers for Medicare & Medicaid Services (CMS)?
The Sherry Diane Wagner has been assigned the NPI (National Provider Identifier) 1265548242. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Sherry Diane Wagner is physically located?
The Sherry Diane Wagner is physically situated at the following address: 28020 Tanners Run Rd, Racine, OH, 457719753.
What is the area of specialization for Sherry Diane Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sherry Diane Wagner is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
When did Sherry Diane Wagner receive its 1265548242 assignment?
The Sherry Diane Wagner was assigned its 1265548242 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sherry Diane Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sherry Diane Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY