Individual provider · Type 1 NPI

Susan Anne Wallace, LPN

Licensed Practical Nurse · Manorville, NY

NPI number 1477910792 Active

Practice location

44 Beechwood Dr
Manorville, NY 11949-2947

Call (631) 909-2182 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X323868 (NY)

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477910792

Susan Anne Wallace, LPN's National Provider Identifier is 1477910792, issued on Jan 16, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manorville, NY. The record was last updated on Jan 16, 2016.