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Ms. Kelly Ann Wagner, LPN
Licensed Practical Nurse in West Bend, Wisconsin
NPI 1407180268

Kelly Ann Wagner is a Licensed Practical Nurse based in West Bend, WI. Kelly Ann Wagner practices in West Bend, WI and has the professional credentials of LPN. The NPI Number for Kelly Ann Wagner is 1407180268 and holds a License No. 302197-031 (Wisconsin).

The current practice location address for Kelly Ann Wagner is 1143 Vogt Dr Apt 14, West Bend, WI and can be reached out via phone at 262-483-8439 and via fax at 262-353-3484.

Location: 1143 Vogt Dr Apt 14, West Bend, WI, 53095-5505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407180268
Provider Name
Kelly Ann Wagner
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1143 Vogt Dr Apt 14, West Bend, WI, 53095-5505
Phone Number
262-483-8439
Fax Number
262-353-3484
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1143 Vogt Dr Apt 14
City
West Bend
State
Wisconsin
Zip
53095-5505
Phone Number
262-483-8439
Fax Number
262-353-3484
person
Provider Business Mailing Address Details
Address
1143 Vogt Dr Apt 14
City
West Bend
State
Wisconsin
Zip
53095-5505
Phone Number
262-483-8439
Fax Number
262-353-3484
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
302197-031 (Wisconsin)
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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