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Teresa Moore Wagner, RN,CDE
Licensed Practical Nurse in Buckeye, West Virginia
NPI 1063572717

Teresa Moore Wagner is a Licensed Practical Nurse based in Buckeye, WV. Teresa Moore Wagner practices in Buckeye, WV and has the professional credentials of RN,CDE. The NPI Number for Teresa Moore Wagner is 1063572717 and holds a License No. 30547 (West Virginia).

The current practice location address for Teresa Moore Wagner is 150 Duncan Road, Buckeye, WV and can be reached out via phone at 304-799-7400 and via fax at 304-799-2276.

Location: 150 Duncan Road, Buckeye, WV, 24924-9037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063572717
Provider Name
Teresa Moore Wagner
Credential
RN,CDE
Provider Entity Type
Individual
Gender
Female
Address
150 Duncan Road, Buckeye, WV, 24924-9037
Phone Number
304-799-7400
Fax Number
304-799-2276
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
150 Duncan Road
City
Buckeye
State
West Virginia
Zip
24924-9037
Phone Number
304-799-7400
Fax Number
304-799-2276
person
Provider Business Mailing Address Details
Address
150 Duncan Road
City
Buckeye
State
West Virginia
Zip
24924-9037
Phone Number
304-799-7400
Fax Number
304-799-2276
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
30547 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
30547 (West Virginia)
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 responsibilities vary among the states.
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