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Ashley Wallace
Licensed Practical Nurse in Westland, Michigan
NPI 1861895203

Ashley Wallace is a Licensed Practical Nurse based in Westland, MI. Ashley Wallace practices in Westland, MI. The NPI Number for Ashley Wallace is 1861895203 and holds a License No. 4703110011 (Michigan).

The current practice location address for Ashley Wallace is 29615 Hanover Blvd, Westland, MI and can be reached out via phone at 734-560-3074.

Location: 29615 Hanover Blvd, Westland, MI, 48186-5179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861895203
Provider Name
Ashley Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
29615 Hanover Blvd, Westland, MI, 48186-5179
Phone Number
734-560-3074
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29615 Hanover Blvd
City
Westland
State
Michigan
Zip
48186-5179
Phone Number
734-560-3074
Fax Number
person
Provider Business Mailing Address Details
Address
29615 Hanover Blvd
City
Westland
State
Michigan
Zip
48186-5179
Phone Number
734-560-3074
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703110011 (Michigan)
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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