Individual provider · Type 1 NPI

David Mark Wallace

Nurse's Aide · Omaha, NE

NPI number 1235099094 Active

Practice location

13919 S Plz
Omaha, NE 68137-2916

Call (402) 896-9988 Map

Mailing address

19359 V St
Omaha, NE 68135-4249

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone 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 1235099094

David Mark Wallace's National Provider Identifier is 1235099094, issued on Nov 14, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Omaha, NE. The record was last updated on Nov 25, 2025.