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

ERIC WAGNER, LPN

Active Sole Proprietor

ERIC WAGNER, LPN is a Licensed Practical Nurse healthcare provider located in SPARTA, Wisconsin. NPI 1487043196 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SPARTA, WI

Registration Details

NPI Number
1487043196
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2015 (11.587541629834 yrs)
Last Updated
Jan 19, 2015
License
309254-031 (WI)
Sole Proprietor
Yes

Practice Information

Address
526 W MAIN ST
SPARTA, WI, 546562146
Browse WI providers · Browse ZIP 54656
Phone
6083873586
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in SPARTA, WI

Name Credential NPI
CARLY JEAN BAKER 1710293204
NAOMI LEIS LPN 1154679249
JENNA JOHNSON LPN 1164768842
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.