Individual provider · Type 1 NPI

Lori Wagner-Tanico, RN

Registered Nurse · Hicksville, NY

NPI number 1104068816 Active

Practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Fax (516) 369-0553

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X492163 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104068816

Lori Wagner-Tanico, RN's National Provider Identifier is 1104068816, issued on Mar 26, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hicksville, NY. The record was last updated on Mar 26, 2009.