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SALLY JOY WALCK LPN
NPI 1164609392
Licensed Practical Nurse in Tonawanda, NY

Active since January 30, 2008
231 BROAD ST APT 1, TONAWANDA, NY 14150(716) 563-5905 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2020, Jan 21, 2016 (2 updates tracked since 2016).

About Sally Joy Walck Lpn NPPES

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

SALLY JOY WALCK LPN (NPI 1164609392) is an individual licensed practical nurse in Tonawanda, New York, licensed in New York (290762) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1164609392
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSALLY JOY WALCKCredential: LPN
Location Address231 BROAD ST APT 1Tonawanda, NY 14150-2029
Mailing Address231 Broad St Apt 1Tonawanda, NY 14150-2029 · (716) 563-5905
Phone(716) 563-5905
Sole ProprietorNo
Enumeration DateJanuary 30, 2008
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1164609392 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 · 290762
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.
231 BROAD ST APT 1, Tonawanda, NY 14150
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Other Identifiers 1

MedicaidA687NY

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 Sally Walck's NPI number?

The NPI number for Sally Walck is 1164609392. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Sally Walck located?

Sally Walck practices at 231 Broad St Apt 1, Tonawanda, NY 14150. The listed phone number is (716) 563-5905.

What is Sally Walck'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 Sally Walck was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.