Individual provider · Type 1 NPI

Michelle Diane Waggoner, LPN

Licensed Practical Nurse · Dayton, OH

NPI number 1124585641 Active

Practice location

8120 Garnet Dr
Dayton, OH 45458-2141

Fax (513) 873-1567

Mailing address

446 Morgan St
Cincinnati, OH 45206-2348

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.130695.MEDS-IV (OH)

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124585641

Michelle Diane Waggoner, LPN's National Provider Identifier is 1124585641, issued on Feb 21, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on Dec 20, 2019.