Individual provider · Type 1 NPI

Rebecca Wallace

Licensed Practical Nurse · Chestnut Ridge, NY

NPI number 1285980250 Active

Practice location

12 Demarest Rd
Chestnut Ridge, NY 10977-6517

Call (845) 323-5257 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310362 (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 1285980250

Rebecca Wallace's National Provider Identifier is 1285980250, issued on Jul 27, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chestnut Ridge, NY. The record was last updated on Jul 27, 2012.