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Wallace Mallery
Licensed Practical Nurse in Troy, New York
NPI 1396098703

Wallace Mallery is a Licensed Practical Nurse based in Watervliet, NY. Wallace Mallery practices in Troy, NY. The NPI Number for Wallace Mallery is 1396098703 and holds a License No. 239016 (New York).

The current practice location address for Wallace Mallery is 1 Conway Ct, Troy, NY and can be reached out via phone at 518-274-6525 and via fax at 517-274-6511.

Location: 1 Conway Ct, Troy, NY, 12189-1306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396098703
Provider Name
Wallace Mallery
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Conway Ct, Troy, NY, 12189-1306
Phone Number
518-274-6525
Fax Number
517-274-6511
Provider Enumeration Date
10/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Conway Ct
City
Troy
State
New York
Zip
12180-2108
Phone Number
518-274-6525
Fax Number
517-274-6511
person
Provider Business Mailing Address Details
Address
1 Conway Ct
City
Troy
State
New York
Zip
12180-2108
Phone Number
518-274-6525
Fax Number
517-274-6511
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
239016 (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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