MS. LA' TAYSIA WALLACE MSN, RN, CPNP-PC
NPI 1114297074
Nurse Practitioner - Pediatrics in Huntington Station, NY
- Individual
- Female
- Nurse Practitioner
- Pediatrics
About LA' TAYSIA WALLACE
This page provides the complete NPI Profile along with additional information for La' Taysia Wallace, a provider established in Huntington Station, New York with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1114297074 assigned on January 2012. The practitioner's primary taxonomy code is 363LP0200X with license number F383676-01 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1114297074 Verify this NPI
- Provider Name
- MS. LA' TAYSIA WALLACE MSN, RN, CPNP-PC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 21 PENNY DR HUNTINGTON STATION, NY 11746
- Location Phone
- (516) 850-9623
- Mailing Address
- PO BOX 3644 MOUNT VERNON, NY 10553
- Mailing Phone
- (516) 850-9623
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-10-2012
- Last Update Date
- 04-02-2024
- Code Navigator
A nurse practitioner (NP) like La' Taysia Wallace is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F383676-01
- License State
- NY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 716807-1 (NY) |
| 2 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | 308886-1 (NY) |
Reviews for MS. LA' TAYSIA WALLACE MSN, RN, CPNP-PC
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114297074, enumerated as an "individual" on January 10, 2012.
The provider is located at 21 PENNY DR HUNTINGTON STATION, NY 11746 and the phone number is (516) 850-9623.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
