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Christine Elaine Wallace
Licensed Practical Nurse in Louisa, Kentucky
NPI 1417201625

Christine Elaine Wallace is a Licensed Practical Nurse based in Louisa, KY. Christine Elaine Wallace practices in Louisa, KY. The NPI Number for Christine Elaine Wallace is 1417201625 and holds a License No. 115096 (Kentucky).

The current practice location address for Christine Elaine Wallace is 2160 Highway 2565, Louisa, KY and can be reached out via phone at 410-463-3865.

Location: 2160 Highway 2565, Louisa, KY, 41230-9166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417201625
Provider Name
Christine Elaine Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2160 Highway 2565, Louisa, KY, 41230-9166
Phone Number
410-463-3865
Fax Number
Provider Enumeration Date
11/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115096 01 OH OHIO BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
2160 Highway 2565
City
Louisa
State
Kentucky
Zip
41230-9166
Phone Number
410-463-3865
Fax Number
person
Provider Business Mailing Address Details
Address
2160 Highway 2565
City
Louisa
State
Kentucky
Zip
41230-9166
Phone Number
410-463-3865
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
115096 (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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