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Ms. Tina Wallace
Licensed Vocational Nurse in Kenosha, Wisconsin
NPI 1326484056

Tina Wallace is a Licensed Vocational Nurse based in Kenosha, WI. Tina Wallace practices in Kenosha, WI. The NPI Number for Tina Wallace is 1326484056 and holds a License No. 31662-31 (Wisconsin).

The current practice location address for Tina Wallace is 4603 40Th Ave, Kenosha, WI and can be reached out via phone at 262-914-1981. You can also correspond with Tina Wallace through the mailing address at 4603 40TH AVE, KENOSHA, WI - 53144-3543 (mailing address contact number: 262-914-1981).

Location: 4603 40Th Ave, Kenosha, WI, 53144-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326484056
Provider Name
Tina Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
4603 40Th Ave, Kenosha, WI, 53144-3543
Phone Number
262-914-1981
Fax Number
Provider Enumeration Date
05/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4603 40Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-3543
Phone Number
262-914-1981
Fax Number
person
Provider Business Mailing Address Details
Address
4603 40Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-3543
Phone Number
262-914-1981
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
31662-31 (Wisconsin)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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