MS. TINA WALLACE NPI 1326484056

NPI Information

MS. Tina Wallace is a licensed vocational nurse in Kenosha, WI. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. MS. Tina Wallace NPI is 1326484056. 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:

4603 40TH AVE
KENOSHA, WI
ZIP 53144-543
Phone: (262) 914-1981

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

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:

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