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ETHYL LAURA WALLACE
NPI 1326803156
Nurse's Aide in Gainesville, FL

Active since February 20, 2024
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethyl Laura Wallace NPPES

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

ETHYL LAURA WALLACE (NPI 1326803156) is an individual nurse's aide in Gainesville, Florida and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1326803156
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameETHYL LAURA WALLACE
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600
Phone(352) 374-5600
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1326803156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
4300 SW 13TH ST, Gainesville, FL 32608
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Other Names 1

Professional Name (2)Ethyl Laura Wallace Bs

Other Providers at the Same Location NPPES 20

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

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

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 Ethyl Wallace's NPI number?

The NPI number for Ethyl Wallace is 1326803156. It was assigned to this individual provider in the NPPES registry on February 20, 2024. The provider is also known as Ethyl Laura Wallace Bs.

Where is Ethyl Wallace located?

Ethyl Wallace practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Ethyl Wallace's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Ethyl Wallace was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.