Individual provider · Type 1 NPI
Keesha Michelle Wallace, RN, BSN
Registered Nurse · Canton, MI
Practice location
982 Princess Dr
Canton, MI 48188-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 4704311979 (MI) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1750828588
Keesha Michelle Wallace, RN, BSN's National Provider Identifier is 1750828588, issued on Jan 31, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Canton, MI. The record was last updated on Jan 31, 2017.