Individual provider · Type 1 NPI
Sharandell Rena Wallace
Licensed Practical Nurse · Blue Springs, MO
NPI number
1235087008
Active
Practice location
605 SW US Highway 40 # 146
Blue Springs, MO 64014-3232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2015022803 (MO) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Blue Springs
About NPI 1235087008
Sharandell Rena Wallace's National Provider Identifier is 1235087008, issued on Mar 18, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blue Springs, MO. The record was last updated on Mar 18, 2026.