Danielle Renee Wallis
Licensed Practical Nurse in Fulton, NY. Individual provider (NPI-1).
NPI number1881900702
StatusActive
Last updated in NPPESAug 30, 2010
Details
- NPI
- 1881900702
- Entity type
- Individual (NPI-1)
- Name
- Ms. Danielle Renee Wallis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2010
- Last updated
- Aug 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 276466 | NY | Yes |
Practice location
231 Rowlee RdFulton, NY 13069-4271
Phone 315-598-8263
Mailing address
231 Rowlee RdFulton, NY 13069-4271
Phone 315-598-8263
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All 55 Licensed Practical Nurse providers in Fulton · All 412 providers in Fulton
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