Individual provider · Type 1 NPI
Kyle Wilson Wallace, RN
Registered Nurse · Maumee, OH
Practice location
1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Mailing address
4737 Sadalia Rd
Toledo, OH 43623-2965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | RN.423738 (OH) |
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 1124641394
Kyle Wilson Wallace, RN's National Provider Identifier is 1124641394, issued on May 22, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Maumee, OH. The record was last updated on May 22, 2020.