Individual provider · Type 1 NPI
Bridget Rena Wallace
Registered Nurse · Springfield, MO
Practice location
2626 W College Rd
Springfield, MO 65802-4637
Mailing address
1601 Old South River Rd
St. Charles, MO 63303-4120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 2006004371 (MO) |
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 1760110142
Bridget Rena Wallace's National Provider Identifier is 1760110142, issued on Aug 12, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Springfield, MO. The record was last updated on Aug 12, 2022.