Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA MOORE WAGNER, RN, CDE
ActiveTERESA MOORE WAGNER, RN, CDE is a Licensed Practical Nurse healthcare provider located in BUCKEYE, West Virginia. NPI 1063572717 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BUCKEYE, WV
Registration Details
- NPI Number
- 1063572717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2006 (19.640430343096 yrs)
- Last Updated
- Sep 23, 2015
- Licenses
-
30547 (WV)30547 (WV)
Practice Information
- Address
-
150 DUNCAN ROADBUCKEYE, WV, 249249037Browse WV providers · Browse ZIP 24924
- Phone
- 3047997400
- Fax
- 3047992276
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.