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Mrs. Susan Anne Wallace, LPN
Licensed Practical Nurse in Manorville, New York
NPI 1477910792

Susan Anne Wallace is a Licensed Practical Nurse based in Manorville, NY. Susan Anne Wallace practices in Manorville, NY and has the professional credentials of LPN. The NPI Number for Susan Anne Wallace is 1477910792 and holds a License No. 323868 (New York).

The current practice location address for Susan Anne Wallace is 44 Beechwood Dr, Manorville, NY and can be reached out via phone at 631-909-2182.

Location: 44 Beechwood Dr, Manorville, NY, 11949-2947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477910792
Provider Name
Susan Anne Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
44 Beechwood Dr, Manorville, NY, 11949-2947
Phone Number
631-909-2182
Fax Number
Provider Enumeration Date
01/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44 Beechwood Dr
City
Manorville
State
New York
Zip
11949-2947
Phone Number
631-909-2182
Fax Number
person
Provider Business Mailing Address Details
Address
44 Beechwood Dr
City
Manorville
State
New York
Zip
11949-2947
Phone Number
631-909-2182
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
323868 (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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