Individual provider · Type 1 NPI

Desiree M. Wallace, CNA

Nurse's Aide · Houlton, ME

NPI number 1093364853 Active

Practice location

59 Bangor St
Houlton, ME 04730-1740

Call (207) 538-3700 Map

Fax (207) 528-2880

Mailing address

529 S Patten Rd
Patten, ME 04765-3007

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XCNA67685 (ME)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1093364853

Desiree M. Wallace, CNA's National Provider Identifier is 1093364853, issued on Sep 5, 2019. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Houlton, ME. The record was last updated on Sep 9, 2020.