Individual provider · Type 1 NPI

Deb Agnes Wagner

Licensed Practical Nurse · Fort Collins, CO

NPI number 1629674809 Active

Practice location

1008 Patton Street
Fort Collins, CO 80525

Call (970) 494-4200 Map

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0046580 (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.

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About NPI 1629674809

Deb Agnes Wagner's National Provider Identifier is 1629674809, issued on Dec 11, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 11, 2020.