Individual provider · Type 1 NPI

Theresa Marie Wallace, LVN

Licensed Vocational Nurse · Oceanside, CA

NPI number 1467990572 Active

Practice location

3230 Waring Ct, Suite A
Oceanside, CA 92056-4509

Fax (760) 509-4410

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X686554 (CA)

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 1467990572

Theresa Marie Wallace, LVN's National Provider Identifier is 1467990572, issued on Feb 9, 2017. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Oceanside, CA. The record was last updated on Feb 9, 2017.