Individual provider · Type 1 NPI

Gloria Elizabeeth Wallace Jr., RN

School Registered Nurse · Brooklyn, NY

NPI number 1154697191 Active

Practice location

141 Macon St
Brooklyn, NY 11216-2206

Call (718) 230-9734 Map

Fax (718) 230-9734

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X468506 (NY)

School Registered Nurse: Definition to come...

3 other providers at this address

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About NPI 1154697191

Gloria Elizabeeth Wallace Jr., RN's National Provider Identifier is 1154697191, issued on Mar 23, 2012. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 23, 2012.