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Pauline Wallace, LPN
Licensed Practical Nurse in Selden, New York
NPI 1922385764

Pauline Wallace is a Licensed Practical Nurse based in Selden, NY. Pauline Wallace practices in Selden, NY and has the professional credentials of LPN. The NPI Number for Pauline Wallace is 1922385764 and holds a License No. 044346 (New York).

The current practice location address for Pauline Wallace is 20 Willow St, Selden, NY and can be reached out via phone at 631-732-2073.

Location: 20 Willow St, Selden, NY, 11784-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922385764
Provider Name
Pauline Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
20 Willow St, Selden, NY, 11784-2808
Phone Number
631-732-2073
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Willow St
City
Selden
State
New York
Zip
11784-2808
Phone Number
631-732-2073
Fax Number
person
Provider Business Mailing Address Details
Address
20 Willow St
City
Selden
State
New York
Zip
11784-2808
Phone Number
631-732-2073
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
044346 (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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