Individual provider · Type 1 NPI
Peggy Sue Matailo, LPN
Licensed Practical Nurse · Waterville, OH
NPI number
1932691391
Active
Practice location
1501 Pray Blvd Apt E111
Waterville, OH 43566-8782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | None listed |
| Licensed Practical Nurse Primary | 164W00000X | 315542-1 (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.
Other licensed practical nurse providers in Waterville
About NPI 1932691391
Peggy Sue Matailo, LPN's National Provider Identifier is 1932691391, issued on Jun 1, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waterville, OH. The record was last updated on Jun 18, 2025.