Individual provider · Type 1 NPI
Lacey Elizabeth Ruth Wagner, RN
School Registered Nurse · Davenport, NE
NPI number
1275367294
Active
Practice location
106 N Juniper Ave
Davenport, NE 68335-3010
Mailing address
PO Box 273
Bruning, NE 68322-0273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 78245 (NE) |
School Registered Nurse: Definition to come...
2 other providers at this address
Other school registered nurse providers in Davenport
About NPI 1275367294
Lacey Elizabeth Ruth Wagner, RN's National Provider Identifier is 1275367294, issued on Aug 30, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Davenport, NE. The record was last updated on Aug 30, 2024.