CAROL WALLACE
NPI 1083111728
Licensed Practical Nurse in Baldwin, NY

Active since April 10, 2018
1052 ARCHER PL, BALDWIN, NY 11510(516) 209-6062 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol Wallace NPPES

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

CAROL WALLACE (NPI 1083111728) is an individual licensed practical nurse in Baldwin, New York, licensed in New York (282552-1) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1083111728
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCAROL WALLACE
Location Address1052 ARCHER PLBaldwin, NY 11510-3604
Mailing Address1052 Archer PlBaldwin, NY 11510-3604
Sole ProprietorNo
Enumeration DateApril 10, 2018
NPI 1083111728 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 NY · 282552-1
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.

1052 ARCHER PL, Baldwin, NY 11510

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 Carol Wallace's NPI number?

The NPI number for Carol Wallace is 1083111728. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Carol Wallace located?

Carol Wallace practices at 1052 Archer Pl, Baldwin, NY 11510. The listed phone number is (516) 209-6062.

What is Carol 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 Carol Wallace was last updated on April 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.