Individual provider · Type 1 NPI

Dallas Wager

Licensed Practical Nurse · Rensselaer, NY

NPI number 1245650779 Active

Practice location

87 Washington St
Rensselaer, NY 12144-2613

Call (518) 449-1142 Map

Mailing address

Pox 148
Rensselaer, NY 12144

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293175 (NY)

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 1245650779

Dallas Wager's National Provider Identifier is 1245650779, issued on Apr 23, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rensselaer, NY. The record was last updated on Apr 23, 2014.