Individual provider · Type 1 NPI

Kristal Wagner

Licensed Practical Nurse · Lancaster, PA

NPI number 1699586404 Active

Practice location

2141 Oregon Pike
Lancaster, PA 17602-4604

Call (717) 617-2708 Map

Mailing address

4815 Pennsylvania 405
Milton, PA 17847

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN313706 (PA)

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 1699586404

Kristal Wagner's National Provider Identifier is 1699586404, issued on Jan 20, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lancaster, PA. The record was last updated on Jan 20, 2025.