Individual provider · Type 1 NPI

Adrienne Wallace

Registered Nurse · Weldon Springs, MO

NPI number 1245903863 Active

Practice location

300 Breeze Park Dr.
Weldon Springs, MO 63304

Mailing address

5072 Douglas Park Dr
St. Peters, MO 63304

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2010010977 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1245903863

Adrienne Wallace's National Provider Identifier is 1245903863, issued on Jul 29, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Weldon Springs, MO. The record was last updated on Jul 29, 2021.