Individual provider · Type 1 NPI
Renae Wallace
Driver · Milwaukee, WI
NPI number
1497673172
Active
Practice location
5607 W Silver Spring Dr
Milwaukee, WI 53218-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1497673172
Renae Wallace's National Provider Identifier is 1497673172, issued on Jul 9, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 9, 2026.