AUGIE WALLACE NPI 1083083455

NPI Information

  • NPI: 1083083455
  • Provider Name: AUGIE WALLACE
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 8600 W CHESTER PIKE STE 308
    UPPER DARBY, PA
    ZIP 19082
  • Phone: (484) 433-8208

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NPI Details

Augie Wallace is a home health aide in Upper Darby, PA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Augie Wallace NPI is 1083083455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8600 W CHESTER PIKE STE 308
UPPER DARBY, PA
ZIP 19082-629
Phone: (484) 433-8208

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health Aide28613601PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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