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Mrs. Sherry Diane Wagner, LPN
Licensed Practical Nurse in Racine, Ohio
NPI 1265548242

Sherry Diane Wagner is a Licensed Practical Nurse based in Racine, OH. Sherry Diane Wagner practices in Racine, OH and has the professional credentials of LPN. The NPI Number for Sherry Diane Wagner is 1265548242 and holds a License No. PN085949 (Ohio).

The current practice location address for Sherry Diane Wagner is 28020 Tanners Run Rd, Racine, OH and can be reached out via phone at 740-949-2059 and via fax at 740-949-2059.

Location: 28020 Tanners Run Rd, Racine, OH, 45771-9753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265548242
Provider Name
Sherry Diane Wagner
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
28020 Tanners Run Rd, Racine, OH, 45771-9753
Phone Number
740-949-2059
Fax Number
740-949-2059
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2321302 05 OH
institution
Provider Business Practice Location Address Details
Address
28020 Tanners Run Rd
City
Racine
State
Ohio
Zip
45771-9753
Phone Number
740-949-2059
Fax Number
740-949-2059
person
Provider Business Mailing Address Details
Address
28020 Tanners Run Rd
City
Racine
State
Ohio
Zip
45771-9753
Phone Number
740-949-2059
Fax Number
740-949-2059
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN085949 (Ohio)
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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