Individual provider · Type 1 NPI

Robert William Wallace, RN

Home Health Registered Nurse · West Hurley, NY

NPI number 1972947257 Active

Practice location

40 Ridge Dr
West Hurley, NY 12491-5627

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X578054 (NY)

Home Health Registered Nurse: Definition to come...

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About NPI 1972947257

Robert William Wallace, RN's National Provider Identifier is 1972947257, issued on Apr 17, 2013. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in West Hurley, NY. The record was last updated on Apr 17, 2013.