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Eric Wagner, LPN
Licensed Practical Nurse in Sparta, Wisconsin
NPI 1487043196

Eric Wagner is a Licensed Practical Nurse based in Sparta, WI. Eric Wagner practices in Sparta, WI and has the professional credentials of LPN. The NPI Number for Eric Wagner is 1487043196 and holds a License No. 309254-031 (Wisconsin).

The current practice location address for Eric Wagner is 526 W Main St, Sparta, WI and can be reached out via phone at 608-387-3586.

Location: 526 W Main St, Sparta, WI, 54656-2146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487043196
Provider Name
Eric Wagner
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
526 W Main St, Sparta, WI, 54656-2146
Phone Number
608-387-3586
Fax Number
Provider Enumeration Date
01/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
526 W Main St
City
Sparta
State
Wisconsin
Zip
54656-2146
Phone Number
608-387-3586
Fax Number
person
Provider Business Mailing Address Details
Address
526 W Main St
City
Sparta
State
Wisconsin
Zip
54656-2146
Phone Number
608-387-3586
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
309254-031 (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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