Individual provider · Type 1 NPI

Joel Wallace, LPN

Licensed Practical Nurse · Sedro Woolley, WA

NPI number 1740116276 Active

Practice location

1420 State Route 20
Sedro Woolley, WA 98284-4322

Call (360) 854-7400 Map

Fax (360) 854-7445

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X61575880 (WA)

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 1740116276

Joel Wallace, LPN's National Provider Identifier is 1740116276, issued on Jun 22, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sedro Woolley, WA. The record was last updated on Jun 22, 2026.