Individual provider · Type 1 NPI
Morgan Roisin Wallace
Pediatric Registered Nurse · Burlington, VT
NPI number
1407761406
Active
Practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
190 Shore Rd
Burlington, VT 05408-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 026.0156067 (VT) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1407761406
Morgan Roisin Wallace's National Provider Identifier is 1407761406, issued on Aug 17, 2026. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Burlington, VT. The record was last updated on Aug 17, 2026.