DANTORIA WALLACE LPN
NPI 1194571083
Licensed Practical Nurse in Greenville, SC

Active since April 30, 2024
157 BROZZINI CT, GREENVILLE, SC 29615(800) 805-6989 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dantoria Wallace Lpn NPPES

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

DANTORIA WALLACE LPN (NPI 1194571083) is an individual licensed practical nurse in Greenville, South Carolina, licensed in South Carolina (54228) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1194571083
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDANTORIA WALLACECredential: LPN
Location Address157 BROZZINI CTGreenville, SC 29615-5340
Mailing Address157 Brozzini CtGreenville, SC 29615-5340
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
NPI 1194571083 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 SC · 54228
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.

157 BROZZINI CT, Greenville, SC 29615

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Licensed Practical Nurse
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Nurse Practitioner (Adult Health)
157 BROZZINI CT
GREENVILLE, SC 29615
Community Health Worker
157 BROZZINI CT
GREENVILLE, SC 29615

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 Dantoria Wallace's NPI number?

The NPI number for Dantoria Wallace is 1194571083. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Dantoria Wallace located?

Dantoria Wallace practices at 157 Brozzini Ct, Greenville, SC 29615. The listed phone number is (800) 805-6989.

What is Dantoria 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 Dantoria Wallace was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.