Nicole Lynn Wallis in Wellston - Licensed Practical Nurse
Nicole Lynn Wallis - NPI 1154409357
Nicole Lynn Wallis is a Licensed Practical Nurse in Wellston, Ohio. Nicole Lynn Wallis practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Nicole Lynn Wallis is 1154409357. The last update date is 2007-07-08.
Nicole Lynn Wallis's current location address is 421 E 1st St, Wellston, Ohio. You can contact this provider via phone number 7403844341. The mailing address for Nicole Lynn Wallis is 421 E 1st St, Wellston, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Lynn Wallis |
|---|---|
| Address | 421 E 1st St, Wellston, Ohio |
| Phone Number | 7403844341 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1154409357 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 421 E 1st St |
|---|---|
| City | Wellston |
| State | Ohio (OH) |
| Post Code | 456921505 |
| Phone Number | 7403844341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 103921 |
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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 r |
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What is the unique 10-digit identifier code issued to Nicole Lynn Wallis by the Centers for Medicare & Medicaid Services?
The Nicole Lynn Wallis has been assigned the NPI (National Provider Identifier) 1154409357 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Nicole Lynn Wallis located?
The Nicole Lynn Wallis is located at 421 E 1St St, Wellston, OH 456921505.
What is Nicole Lynn Wallis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nicole Lynn Wallis's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
When did the Nicole Lynn Wallis receive its 1154409357?
The Nicole Lynn Wallis was issued its 1154409357 on 2006-11-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Nicole Lynn Wallis last refreshed?
The information related to the Nicole Lynn Wallis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.