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NPI Code Detail

MEDICARE: AMBER N WAGGONER LPN

MEDICARE: AMBER N WAGGONER LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse23878204WV

General Provider Information

NPI Number : 1891640280
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER N WAGGONER LPN
Provider Business Mailing Address
First Line : 10 6TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-0028
Country : US
Telephone Number : 304-525-8014
Fax Number : 304-525-8026
Provider Business Practice Location Address
First Line : 10 6TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-0028
Country : US
Telephone Number : 304-525-8014
Fax Number : 304-525-8026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/05/2026

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Directions to “ AMBER N WAGGONER LPN” Practice Location

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