Amy Beth Wallace, LPN
Licensed Practical Nurse in Henrietta, NY. Individual provider (NPI-1).
NPI number1861663122
StatusActive
Last updated in NPPESMar 14, 2008
Details
- NPI
- 1861663122
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Beth Wallace
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2008
- Last updated
- Mar 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 276860 | NY | Yes |
Practice location
150 Gate House TrlHenrietta, NY 14467-9559
Phone 585-359-3557
Mailing address
150 Gate House TrlHenrietta, NY 14467-9559
Phone 585-359-3557
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All 20 Licensed Practical Nurse providers in Henrietta · All 174 providers in Henrietta
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