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Courtney Lee Wagner, LPN
Licensed Practical Nurse in Crestview, Florida
NPI 1295914331

Courtney Lee Wagner is a Licensed Practical Nurse based in Fort Walton Beach, FL. Courtney Lee Wagner practices in Crestview, FL and has the professional credentials of LPN. The NPI Number for Courtney Lee Wagner is 1295914331 and holds a License No. PN5178468 (Florida).

The current practice location address for Courtney Lee Wagner is 6261 Old Bethel Rd, Crestview, FL and can be reached out via phone at 850-683-7500 and via fax at 850-683-7523.

Location: 6261 Old Bethel Rd, Crestview, FL, 32548-5066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295914331
Provider Name
Courtney Lee Wagner
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
6261 Old Bethel Rd, Crestview, FL, 32548-5066
Phone Number
850-683-7500
Fax Number
850-683-7523
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6261 Old Bethel Rd
City
Crestview
State
Florida
Zip
32536-5507
Phone Number
850-683-7500
Fax Number
850-683-7523
person
Provider Business Mailing Address Details
Address
6261 Old Bethel Rd
City
Crestview
State
Florida
Zip
32536-5507
Phone Number
850-683-7500
Fax Number
850-683-7523
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5178468 (Florida)
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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