Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lenie Wagoner

Individual provider Registered Nurse · NPI 1376128991

Lenie Wagoner is a Registered Nurse in Central Square, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

2399 County Route 12
Central Square, NY 13036-2347
Phone: (315) 741-6331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 806246 (NY)

Record details

NPI number1376128991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address2399 County Route 12, Central Square, NY 13036-2347

Other providers in Central Square