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Miss Carrie Marie Wallace, LPN
Licensed Practical Nurse in Marietta, Ohio
NPI 1306518089

Carrie Marie Wallace is a Licensed Practical Nurse based in Marietta, OH. Carrie Marie Wallace practices in Marietta, OH and has the professional credentials of LPN. The NPI Number for Carrie Marie Wallace is 1306518089 and holds a License No. 115406 (Ohio).

The current practice location address for Carrie Marie Wallace is 472 Pike Street, Marietta, OH and can be reached out via phone at 740-236-4452 and via fax at 740-236-4453.

Location: 472 Pike Street, Marietta, OH, 45750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306518089
Provider Name
Carrie Marie Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
472 Pike Street, Marietta, OH, 45750
Phone Number
740-236-4452
Fax Number
740-236-4453
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
472 Pike Street
City
Marietta
State
Ohio
Zip
45750
Phone Number
740-236-4452
Fax Number
740-236-4453
person
Provider Business Mailing Address Details
Address
472 Pike Street
City
Marietta
State
Ohio
Zip
45750
Phone Number
740-236-4452
Fax Number
740-236-4453
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
115406 (Ohio)
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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