DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KANDY LYN VAN WAGNER

Active Sole Proprietor

MRS. KANDY LYN VAN WAGNER is a Licensed Practical Nurse healthcare provider located in WHITNEY POINT, New York. NPI 1366931974 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WHITNEY POINT, NY

Registration Details

NPI Number
1366931974
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2018 (8.2588674078548 yrs)
Last Updated
May 9, 2018
License
329567 (NY)
Sole Proprietor
Yes

Practice Information

Address
33 RIVER RD
WHITNEY POINT, NY, 138627704
Browse NY providers · Browse ZIP 13862
Phone
6073711046
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WHITNEY POINT, NY

Name Credential NPI
SAMANTHA MCLAIN LPN 1164031449
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.