Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEESHA MICHELLE WALLACE, RN,BSN
Active Sole ProprietorKEESHA MICHELLE WALLACE, RN,BSN is a Registered Nurse healthcare provider located in CANTON, Michigan. NPI 1750828588 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · CANTON, MI
Registration Details
- NPI Number
- 1750828588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2017 (9.5476402891662 yrs)
- Last Updated
- Jan 31, 2017
- License
-
4704311979 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
982 PRINCESS DRCANTON, MI, 481881147Browse MI providers · Browse ZIP 48188
- Phone
- 7346202584
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in CANTON, MI
| Name | Credential | NPI |
|---|---|---|
| MS. DENISE R BOYLE | MSN-BCFNP | 1003846460 |
| JENNIFER ANNE YOUNG | RN | 1033425756 |
| AMALEAH FAYE BRADLEY | LVN | 1841590817 |
| OLUBUNMI YEMISI ABODUNRIN | — | 1437494440 |
| MRS. MARY KAY SMITH | RN, IBCLC | 1255766366 |
| SHARON GARWOOD | RN | 1134529951 |
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.