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Mary Ruth Wallis
Licensed Practical Nurse in Eaton, New York
NPI 1790430650

Mary Ruth Wallis is a Licensed Practical Nurse based in Eaton, NY. Mary Ruth Wallis practices in Eaton, NY. The NPI Number for Mary Ruth Wallis is 1790430650 and holds a License No. 332738 (New York).

The current practice location address for Mary Ruth Wallis is 2516 Candy Ln Lot 17, Eaton, NY and can be reached out via phone at 315-679-1638.

Location: 2516 Candy Ln Lot 17, Eaton, NY, 13334-3286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790430650
Provider Name
Mary Ruth Wallis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2516 Candy Ln Lot 17, Eaton, NY, 13334-3286
Phone Number
315-679-1638
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2516 Candy Ln Lot 17
City
Eaton
State
New York
Zip
13334-3286
Phone Number
315-679-1638
Fax Number
person
Provider Business Mailing Address Details
Address
2516 Candy Ln Lot 17
City
Eaton
State
New York
Zip
13334-3286
Phone Number
315-679-1638
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
332738 (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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