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Peggy Ann Wallace, LPN
Licensed Practical Nurse in Mesa, Arizona
NPI 1609276344

Peggy Ann Wallace is a Licensed Practical Nurse based in Mesa, AZ. Peggy Ann Wallace practices in Mesa, AZ and has the professional credentials of LPN. The NPI Number for Peggy Ann Wallace is 1609276344 and holds a License No. 031264 (Arizona).

The current practice location address for Peggy Ann Wallace is 7428 E Baseline Rd, Mesa, AZ and can be reached out via phone at 480-334-5385. You can also correspond with Peggy Ann Wallace through the mailing address at 7428 E BASELINE RD, MESA, AZ - 85209-4902 (mailing address contact number: 480-334-5385).

Location: 7428 E Baseline Rd, Mesa, AZ, 85209-4902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609276344
Provider Name
Peggy Ann Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
7428 E Baseline Rd, Mesa, AZ, 85209-4902
Phone Number
480-334-5385
Fax Number
Provider Enumeration Date
08/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7428 E Baseline Rd
City
Mesa
State
Arizona
Zip
85209-4902
Phone Number
480-334-5385
Fax Number
person
Provider Business Mailing Address Details
Address
7428 E Baseline Rd
City
Mesa
State
Arizona
Zip
85209-4902
Phone Number
480-334-5385
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
031264 (Arizona)
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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