Individual provider · Type 1 NPI
Timothy Thomas Wallace Jr., RN
Psychiatric/Mental Health Registered Nurse · Brecksville, OH
NPI number
1003072414
Active
Practice location
10000 Brecksville Rd
Brecksville, OH 44141-3204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN295020 (OH) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1003072414
Timothy Thomas Wallace Jr., RN's National Provider Identifier is 1003072414, issued on Aug 5, 2008. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Brecksville, OH. The record was last updated on Aug 5, 2008.