Individual provider · Type 1 NPI

Laurel E. Wallace, RN

Psychiatric/Mental Health Registered Nurse · Northampton, MA

NPI number 1396200101 Active

Practice location

50 Pleasant St
Northampton, MA 01060-4127

Call (413) 584-6855 Map

Mailing address

15 Laura Drive
Westfield, MA 01085

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	RN121600 (MA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1396200101

Laurel E. Wallace, RN's National Provider Identifier is 1396200101, issued on Feb 6, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Northampton, MA. The record was last updated on Nov 26, 2019.