Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER WALLACE
ActiveHEATHER WALLACE is a Licensed Practical Nurse healthcare provider located in RODNEY, Michigan. NPI 1568934362 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · RODNEY, MI
Registration Details
- NPI Number
- 1568934362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2018 (7.6942712381125 yrs)
- Last Updated
- Dec 19, 2018
- License
-
4703103229 (MI)
Practice Information
- Address
-
16615 130TH AVERODNEY, MI, 493429707Browse MI providers · Browse ZIP 49342
- Phone
- 5172131341
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.