Individual provider · Type 1 NPI
Kimberly Wallace
Registered Nurse · Bronx, NY
Practice location
3400 Bainbridge Ave
Bronx, NY 10467-2404
Mailing address
4330 Ely Ave
Bronx, NY 10466-1816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 731730-1 (NY) |
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 1265969133
Kimberly Wallace's National Provider Identifier is 1265969133, issued on May 22, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bronx, NY. The record was last updated on May 22, 2017.