person
Ms. Barbara Faye Fuller-wallace, LPN
Licensed Practical Nurse in Fort Wayne, Indiana
NPI 1134822430

Barbara Faye Fuller-wallace is a Licensed Practical Nurse based in Fort Wayne, IN. Barbara Faye Fuller-wallace practices in Fort Wayne, IN and has the professional credentials of LPN. The NPI Number for Barbara Faye Fuller-wallace is 1134822430 and holds a License No. 27058499A (Indiana).

The current practice location address for Barbara Faye Fuller-wallace is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431 and via fax at 260-421-1092.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805-5100
person
Provider Profile Details
NPI Number
1134822430
Provider Name
Barbara Faye Fuller-wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805-5100
Phone Number
260-426-5431
Fax Number
260-421-1092
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-421-1092
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
State
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
260-421-1092
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
27058499A (Indiana)
Definition
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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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