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Beverly Wahl, LPN
Licensed Practical Nurse in Canon City, Colorado
NPI 1366742389

Beverly Wahl is a Licensed Practical Nurse based in Canon City, CO. Beverly Wahl practices in Canon City, CO and has the professional credentials of LPN. The NPI Number for Beverly Wahl is 1366742389 and holds a License No. PN 22577 (Colorado).

The current practice location address for Beverly Wahl is 3225 Independence Rd, Canon City, CO and can be reached out via phone at 719-275-2351 and via fax at 719-276-9386. You can also correspond with Beverly Wahl through the mailing address at 3225 INDEPENDENCE RD, CANON CITY, CO - 81212-9380 (mailing address contact number: 719-275-2351).

Location: 3225 Independence Rd, Canon City, CO, 81212-9380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366742389
Provider Name
Beverly Wahl
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3225 Independence Rd, Canon City, CO, 81212-9380
Phone Number
719-275-2351
Fax Number
719-276-9386
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3225 Independence Rd
City
Canon City
State
Colorado
Zip
81212-9380
Phone Number
719-275-2351
Fax Number
719-276-9386
person
Provider Business Mailing Address Details
Address
3225 Independence Rd
City
Canon City
State
Colorado
Zip
81212-9380
Phone Number
719-275-2351
Fax Number
719-276-9386
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN 22577 (Colorado)
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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