Individual provider · Type 1 NPI
Debra Ann Wallace
Nurse's Aide · Tampa, FL
Practice location
5608 Kenny Dr
Tampa, FL 33617-7711
Fax (813) 983-1860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider | 3747A0650X | 684206296 (FL) |
| Personal Care Attendant | 3747P1801X | 684206296 (FL) |
| Nurse's Aide Primary | 376K00000X | CNA 54979 (FL) |
| Adult Companion | 372600000X | 684206296 (FL) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
2 other providers at this address
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About NPI 1912149188
Debra Ann Wallace's National Provider Identifier is 1912149188, issued on Apr 2, 2009. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Tampa, FL. The record was last updated on Apr 2, 2009.