Individual provider · Type 1 NPI

Sandra Marie Wallace, RN

Pediatric Registered Nurse · Brooklyn, NY

NPI number 1912273301 Active

Practice location

180 7th Ave
Brooklyn, NY 11203

Call (718) 499-2412 Map

Mailing address

180 7th Ave
Brooklyn, NY 11215-2609

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X441751-1 (NY)

Pediatric Registered Nurse: Definition to come...

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About NPI 1912273301

Sandra Marie Wallace, RN's National Provider Identifier is 1912273301, issued on Mar 29, 2012. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 29, 2012.