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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X276860 (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.