Individual provider · Type 1 NPI

Beverly Wahl, LPN

Licensed Practical Nurse · Canon City, CO

NPI number 1366742389 Active

Practice location

3225 Independence Rd
Canon City, CO 81212-9380

Call (719) 275-2351 Map

Fax (719) 276-9386

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 22577 (CO)

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.

163 other providers at this address

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About NPI 1366742389

Beverly Wahl, LPN's National Provider Identifier is 1366742389, issued on Oct 25, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canon City, CO. The record was last updated on Oct 25, 2010.