Individual provider · Type 1 NPI
Dionne Lanette Wallace, MSN RN CNL
Medical-Surgical Registered Nurse · Eastpointe, MI
NPI number
1386163830
Active
Practice location
15730 Mok Ave
Eastpointe, MI 48021-2367
Fax (585) 585-9555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 4704260135 (MI) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704260135 (MI) |
Medical-Surgical Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1386163830
Dionne Lanette Wallace, MSN RN CNL's National Provider Identifier is 1386163830, issued on Sep 15, 2017. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Eastpointe, MI. The record was last updated on May 11, 2023.