Individual provider · Type 1 NPI
Angela Wallace, RN, SANE
Administrator Registered Nurse · Winchester, KY
NPI number
1366258337
Active
Practice location
3020 Old Boonesboro Rd
Winchester, KY 40391-9207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 1096760 (KY) |
Administrator Registered Nurse: Definition to come...
About NPI 1366258337
Angela Wallace, RN, SANE's National Provider Identifier is 1366258337, issued on Dec 5, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Winchester, KY. The record was last updated on Dec 5, 2024.