Individual provider · Type 1 NPI

David G. Wallace

Licensed Vocational Nurse · San Francisco, CA

NPI number 1356011977 Active

Practice location

52 Dore St
San Francisco, CA 94103-3828

Fax (415) 861-0140

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X95230212 (AZ)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1356011977

David G. Wallace's National Provider Identifier is 1356011977, issued on Sep 15, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Francisco, CA. The record was last updated on Sep 15, 2021.