Individual provider · Type 1 NPI

Peggy Ann Wallace, LPN

Licensed Practical Nurse · Mesa, AZ

NPI number 1609276344 Active

Practice location

7428 E Baseline Rd
Mesa, AZ 85209-4902

Call (480) 334-5385 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X031264 (AZ)

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 1609276344

Peggy Ann Wallace, LPN's National Provider Identifier is 1609276344, issued on Aug 29, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 29, 2014.