Individual provider · Type 1 NPI
Amy Beth Wallace, LPN
Licensed Practical Nurse · Henrietta, NY
NPI number
1861663122
Active
Practice location
150 Gate House Trl
Henrietta, NY 14467-9559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 276860 (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 1861663122
Amy Beth Wallace, LPN's National Provider Identifier is 1861663122, issued on Mar 14, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Henrietta, NY. The record was last updated on Mar 14, 2008.