Individual provider · Type 1 NPI
Amber Leigh Wallace, LPN
Licensed Practical Nurse · Hart, MI
NPI number
1043673643
Active
Practice location
113 Riverside Dr
Hart, MI 49420-1077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703108739 (MI) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1043673643
Amber Leigh Wallace, LPN's National Provider Identifier is 1043673643, issued on Mar 31, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hart, MI. The record was last updated on Mar 31, 2016.