Individual provider · Type 1 NPI

Chantay Wallace

Licensed Practical Nurse · New York, NY

NPI number 1285104760 Active

Practice location

142 W 143rd St Apt 3A
New York, NY 10030-1665

Call (917) 916-2216 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X766721987 (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 1285104760

Chantay Wallace's National Provider Identifier is 1285104760, issued on Nov 28, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Nov 28, 2018.