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Rebecca Wallace
Licensed Practical Nurse in Chestnut Ridge, New York
NPI 1285980250

Rebecca Wallace is a Licensed Practical Nurse based in Chestnut Ridge, NY. Rebecca Wallace practices in Chestnut Ridge, NY. The NPI Number for Rebecca Wallace is 1285980250 and holds a License No. 310362 (New York).

The current practice location address for Rebecca Wallace is 12 Demarest Rd, Chestnut Ridge, NY and can be reached out via phone at 845-323-5257.

Location: 12 Demarest Rd, Chestnut Ridge, NY, 10977-6517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285980250
Provider Name
Rebecca Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Demarest Rd, Chestnut Ridge, NY, 10977-6517
Phone Number
845-323-5257
Fax Number
Provider Enumeration Date
07/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Demarest Rd
City
Chestnut Ridge
State
New York
Zip
10977-6517
Phone Number
845-323-5257
Fax Number
person
Provider Business Mailing Address Details
Address
12 Demarest Rd
City
Chestnut Ridge
State
New York
Zip
10977-6517
Phone Number
845-323-5257
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
310362 (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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