Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LA' TAYSIA WALLACE, MSN, RN, CPNP-PC
ActiveMS. LA' TAYSIA WALLACE, MSN, RN, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in HUNTINGTON STATION, New York. NPI 1114297074 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · HUNTINGTON STATION, NY
Registration Details
- NPI Number
- 1114297074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2012 (14.555874712913 yrs)
- Last Updated
- Apr 2, 2024
- Licenses
-
716807-1 (NY)308886-1 (NY)F383676-01 (NY)
Practice Information
- Address
-
21 PENNY DRHUNTINGTON STATION, NY, 117463422Browse NY providers · Browse ZIP 11746
- Phone
- 5168509623
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Licensed Practical Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in HUNTINGTON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| LOUISE KESSLER | NP | 1407957905 |
| VITA ANNITTO | N.P. | 1598866147 |
| MS. CAROL WATRAL | CPNP | 1730363821 |
| MRS. GINA ANNE CARTWRIGHT | NP | 1063689859 |
| MRS. ANTOINETTE CATHY CIAMPA | PNP | 1245470574 |
| MARIA ELIZABETH NASIS-MATUZA | MS, RN, CPNP | 1871809707 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.