Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DIONNE LANETTE WALLACE, MSN RN CNL
Active Sole ProprietorMRS. DIONNE LANETTE WALLACE, MSN RN CNL is a Medical-Surgical Nurse healthcare provider located in EASTPOINTE, Michigan. NPI 1386163830 is currently active in the NPPES registry. Verify at CMS.
Medical-Surgical Nurse · EASTPOINTE, MI
Registration Details
- NPI Number
- 1386163830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2017 (8.957678129683 yrs)
- Last Updated
- May 11, 2023
- Licenses
-
4704260135 (MI)4704260135 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15730 MOK AVEEASTPOINTE, MI, 480212367Browse MI providers · Browse ZIP 48021
- Phone
- 5862417088
- Fax
- 5855859555
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.