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Chantay Wallace
Licensed Practical Nurse in New York, New York
NPI 1285104760

Chantay Wallace is a Licensed Practical Nurse based in New York, NY. Chantay Wallace practices in New York, NY. The NPI Number for Chantay Wallace is 1285104760 and holds a License No. 766721987 (New York).

The current practice location address for Chantay Wallace is 142 W 143Rd St Apt 3A, New York, NY and can be reached out via phone at 917-916-2216.

Location: 142 W 143Rd St Apt 3A, New York, NY, 10030-1665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285104760
Provider Name
Chantay Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
142 W 143Rd St Apt 3A, New York, NY, 10030-1665
Phone Number
917-916-2216
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
142 W 143Rd St Apt 3A
City
New York
State
New York
Zip
10030-1665
Phone Number
917-916-2216
Fax Number
person
Provider Business Mailing Address Details
Address
142 W 143Rd St Apt 3A
City
New York
State
New York
Zip
10030-1665
Phone Number
917-916-2216
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
766721987 (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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