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MS. KENDA JOLEEN WALLACE RN NPI 1316007339


NPI Information

NPI: 1316007339
Provider Name: MS. KENDA JOLEEN WALLACE, RN
Classification: Registered Nurse - 163WI0600X
Entity Type: Individual

Specialization: Infection Control

Address:
4212 NORTH 16TH ST,
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1511
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MS. Kenda Joleen Wallace, RN is an infection control registered nurse in Phoenix, AZ. MS. Kenda Joleen Wallace, RN NPI is 1316007339. 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:

4212 NORTH 16TH ST,
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1511
Fax: (602) 263-1619

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WI0600XRegistered NurseInfection ControlE42490CONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.