Individual provider · Type 1 NPI

Carol Wallace

Licensed Practical Nurse · Baldwin, NY

NPI number 1083111728 Active

Practice location

1052 Archer Pl
Baldwin, NY 11510-3604

Call (516) 209-6062 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X282552-1 (NY)

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.

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About NPI 1083111728

Carol Wallace's National Provider Identifier is 1083111728, issued on Apr 10, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baldwin, NY. The record was last updated on Apr 10, 2018.