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AMBER LEIGH WALLACE LPN
NPI 1043673643
Licensed Practical Nurse in Hart, MI

Active since March 31, 2016
113 RIVERSIDE DR, HART, MI 49420(231) 220-4620 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amber Leigh Wallace Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER LEIGH WALLACE LPN (NPI 1043673643) is an individual licensed practical nurse in Hart, Michigan, licensed in Michigan (4703108739) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1043673643
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMBER LEIGH WALLACECredential: LPN
Location Address113 RIVERSIDE DRHart, MI 49420-1077
Mailing Address113 Riverside DrHart, MI 49420-1077 · (231) 220-4620
Phone(231) 220-4620
Sole ProprietorNo
Enumeration DateMarch 31, 2016
✔ NPI 1043673643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703108739
Definition
A licensed practical nurse 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.
113 RIVERSIDE DR, Hart, MI 49420
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Other Names 1

Former Name (1)Amber Leigh Polk Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Wallace's NPI number?

The NPI number for Amber Wallace is 1043673643. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Amber Leigh Polk Lpn.

Where is Amber Wallace located?

Amber Wallace practices at 113 Riverside Dr, Hart, MI 49420. The listed phone number is (231) 220-4620.

What is Amber Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amber Wallace was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.