Daytona Lynn Wagner, LPN - Smithtown, NY

Daytona Lynn Wagner, LPN

Licensed Practical Nurse in Smithtown, New York

NPI 1801362728

Daytona Lynn Wagner is a Licensed Practical Nurse based in Ridge, NY. Daytona Lynn Wagner practices in Smithtown, NY and has the professional credentials of LPN. The NPI Number for Daytona Lynn Wagner is 1801362728 and holds a License No. 333488 (New York).

The current practice location address for Daytona Lynn Wagner is 17 Bank Ave, Smithtown, NY and can be reached out via phone at 631-265-5300.

Location: 17 Bank Ave, Smithtown, NY, 11961

NPI Number

1801362728

Provider Name

Daytona Lynn Wagner

Credential

LPN

Provider Entity Type

Individual

Gender

Female

Address

17 Bank Ave, Smithtown, NY, 11961

Phone Number

631-265-5300

Fax Number

Provider Enumeration Date

10/18/2018

Last Update Date

03/10/2024

Address

17 Bank Ave

City

Smithtown

State

New York

Zip

11787-2703

Phone Number

631-265-5300

Fax Number

Address

17 Bank Ave

City

Smithtown

State

New York

Zip

11787-2703

Phone Number

631-265-5300

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

333488 (New York)

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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