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.
Location: 4603 40Th Ave, Kenosha, WI, 53144-3543
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
Provider Business Practice Location Address Details
Address
4603 40Th Ave
City
State
Zip
53144-3543
Phone Number
262-914-1981
Fax Number
Provider Business Mailing Address Details
Address
4603 40Th Ave
City
State
Zip
53144-3543
Phone Number
262-914-1981
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
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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