MRS. AMY M WALLACE APRN NNP-BC NPI 1104178052

NPI Information

NPI: 1104178052
Provider Name: MRS. AMY M WALLACE, APRN, NNP-BC
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

Address:
800 ROSE ST
4TH FLOOR
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-0101
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MRS. Amy M Wallace, APRN, NNP-BC is a neonatal and critical care nurse practitioner in Lexington, KY. MRS. Amy M Wallace, APRN, NNP-BC NPI is 1104178052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 ROSE ST
4TH FLOOR
LEXINGTON, KY
ZIP 40536-001
Phone: (859) 323-0101

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.

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
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	3007721	KENTUCKY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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