Individual provider · Type 1 NPI

Mary Christena Wallace, RN

Registered Nurse · Farmington, UT

NPI number 1114114832 Active

Practice location

50 E State St
Farmington, UT 84025-2343

Mailing address

PO Box 618
Farmington, UT 84025-0618

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X206301-3102 (UT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114114832

Mary Christena Wallace, RN's National Provider Identifier is 1114114832, issued on Sep 26, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Farmington, UT. The record was last updated on Sep 26, 2007.