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

Mrs. Kandy Lyn Van Wagner

Individual provider Licensed Practical Nurse · NPI 1366931974

Mrs. Kandy Lyn Van Wagner is a Licensed Practical Nurse in Whitney Point, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

33 River Rd
Whitney Point, NY 13862-7704
Phone: (607) 371-1046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 329567 (NY)

Record details

NPI number1366931974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018

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