Hattie Wallace - Phoenix, AZ

Hattie Wallace

Licensed Practical Nurse in Phoenix, Arizona

NPI 1164796520

Hattie Wallace is a Licensed Practical Nurse based in Phoenix, AZ. Hattie Wallace practices in Phoenix, AZ. The NPI Number for Hattie Wallace is 1164796520 and holds a License No. LP044351 (Arizona).

The current practice location address for Hattie Wallace is 14625 S Mountain Pkwy, Phoenix, AZ and can be reached out via phone at 602-565-2159.

Location: 14625 S Mountain Pkwy, Phoenix, AZ, 85044-7142

NPI Number

1164796520

Provider Name

Hattie Wallace

Credential

Provider Entity Type

Individual

Gender

Female

Address

14625 S Mountain Pkwy, Phoenix, AZ, 85044-7142

Phone Number

602-565-2159

Fax Number

Provider Enumeration Date

03/02/2012

Last Update Date

03/09/2024

Address

14625 S Mountain Pkwy

City

Phoenix

State

Arizona

Zip

85044-7142

Phone Number

602-565-2159

Fax Number

Address

14625 S Mountain Pkwy

City

Phoenix

State

Arizona

Zip

85044-7142

Phone Number

602-565-2159

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

LP044351 (Arizona)

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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