Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNY SUE WALLACE
Active Sole ProprietorPENNY SUE WALLACE is a Community Health Worker healthcare provider located in DEFIANCE, Ohio. NPI 1518510122 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DEFIANCE, OH
Registration Details
- NPI Number
- 1518510122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2019 (7.0840177716622 yrs)
- Last Updated
- Jul 23, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
6825 N STATE ROUTE 66DEFIANCE, OH, 435126730Browse OH providers · Browse ZIP 43512
- Phone
- 4197824196
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in DEFIANCE, OH
| Name | Credential | NPI |
|---|---|---|
| DARCI BOWSER | — | 1336038439 |
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.