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Paul S Wallace
Licensed Practical Nurse in Bartlesville, Oklahoma
NPI 1548444318

Paul S Wallace is a Licensed Practical Nurse based in Caney, OK. Paul S Wallace practices in Bartlesville, OK. The NPI Number for Paul S Wallace is 1548444318 and holds a License No. L0050977 (Oklahoma).

The current practice location address for Paul S Wallace is 513 Se Quapaw, Bartlesville, OK and can be reached out via phone at 918-337-8080 and via fax at 918-337-8099. You can also correspond with Paul S Wallace through the mailing address at 1400 S HIGH STREET, CANEY, KS - 67333 (mailing address contact number: 918-337-8080).

Location: 513 Se Quapaw, Bartlesville, OK, 67333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548444318
Provider Name
Paul S Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
513 Se Quapaw, Bartlesville, OK, 67333
Phone Number
918-337-8080
Fax Number
918-337-8099
Provider Enumeration Date
12/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
513 Se Quapaw
City
Bartlesville
State
Oklahoma
Zip
74003
Phone Number
918-337-8080
Fax Number
918-337-8099
person
Provider Business Mailing Address Details
Address
1400 S High Street
City
Caney
State
Kansas
Zip
67333
Phone Number
918-337-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L0050977 (Oklahoma)
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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