MICHELLE MARIE WALLACE R.N. NPI 1598884272

NPI Information

  • NPI: 1598884272
  • Provider Name: MICHELLE MARIE WALLACE, R.N.
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 17887 STATE ROUTE 58
    WELLINGTON, OH
    ZIP 44090
  • Phone: (440) 864-3984

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NPI Details

Michelle Marie Wallace, R.N. is a home health registered nurse in Wellington, OH. Michelle Marie Wallace, R.N. NPI is 1598884272. 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:

17887 STATE ROUTE 58
WELLINGTON, OH
ZIP 44090-464
Phone: (440) 864-3984
Fax: (440) 774-2184

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health295117OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12259041MEDICAIDOHIO

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: 11/21/2025

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