Individual provider · Type 1 NPI

Kimberlee Wagner, LVN

Licensed Vocational Nurse · Van Nuys, CA

NPI number 1093163784 Active

Practice location

16360 Roscoe Blvd, 2nd Floor
Van Nuys, CA 91406-1219

Call (818) 901-4830 Map

Mailing address

18115 Andrea Cir N, Unit 1
Northridge, CA 91325-1161

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	VN 271004 (CA)

Licensed Vocational Nurse: 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1093163784

Kimberlee Wagner, LVN's National Provider Identifier is 1093163784, issued on Jun 2, 2016. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 2, 2016.