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Deborah Wallace
Licensed Practical Nurse in Bethesda, Maryland
NPI 1235526633

Deborah Wallace is a Licensed Practical Nurse based in Bethesda, MD. Deborah Wallace practices in Bethesda, MD. The NPI Number for Deborah Wallace is 1235526633 and holds a License No. LP28371 (Maryland).

The current practice location address for Deborah Wallace is 6040 Southport Dr, Bethesda, MD and can be reached out via phone at 301-493-4200.

Location: 6040 Southport Dr, Bethesda, MD, 20814-1848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235526633
Provider Name
Deborah Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
6040 Southport Dr, Bethesda, MD, 20814-1848
Phone Number
301-493-4200
Fax Number
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6040 Southport Dr
City
Bethesda
State
Maryland
Zip
20814-1848
Phone Number
301-493-4200
Fax Number
person
Provider Business Mailing Address Details
Address
6040 Southport Dr
City
Bethesda
State
Maryland
Zip
20814-1848
Phone Number
301-493-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP28371 (New York)
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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