Individual provider · Type 1 NPI

Pamela Yvette Wallace, LPN

Licensed Practical Nurse · Buffalo, NY

NPI number 1629367990 Active

Practice location

360 Delaware Ave, Suite 310 Interim Healthcare
Buffalo, NY 14202-1620

Call (716) 852-5900 Map

Fax (716) 852-5913

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X266271-1 (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 1629367990

Pamela Yvette Wallace, LPN's National Provider Identifier is 1629367990, issued on Apr 7, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Apr 7, 2011.