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

Michelle Diane Waggoner, LPN

Individual provider Licensed Practical Nurse · NPI 1124585641

Michelle Diane Waggoner, LPN is a Licensed Practical Nurse in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

8120 Garnet Dr
Dayton, OH 45458-2141
Phone: (513) 834-7063
Fax: (513) 873-1567
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.130695.MEDS-IV (OH)

Record details

NPI number1124585641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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