Individual provider · Type 1 NPI

Deborah Wallace

Licensed Practical Nurse · Bethesda, MD

NPI number 1235526633 Active

Practice location

6040 Southport Dr
Bethesda, MD 20814-1848

Call (301) 493-4200 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP28371 (NY)

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.

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About NPI 1235526633

Deborah Wallace's National Provider Identifier is 1235526633, issued on Apr 23, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bethesda, MD. The record was last updated on Apr 23, 2015.