Individual provider · Type 1 NPI

Samara Kache Wallace

Nurse's Aide · Capitol Heights, MD

NPI number 1154960177 Active

Practice location

634 Capitol Heights Blvd
Capitol Heights, MD 20743-2901

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Nurse's Aide Primary 376K00000XNone listed

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 1154960177

Samara Kache Wallace's National Provider Identifier is 1154960177, issued on Dec 23, 2019. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Capitol Heights, MD. The record was last updated on Dec 23, 2019.