Individual provider · Type 1 NPI

Ashley Wallace

Licensed Practical Nurse · Westland, MI

NPI number 1861895203 Active

Practice location

29615 Hanover Blvd
Westland, MI 48186-5179

Call (734) 560-3074 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703110011 (MI)

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 1861895203

Ashley Wallace's National Provider Identifier is 1861895203, issued on Sep 30, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Westland, MI. The record was last updated on Sep 30, 2014.