MRS. SUSAN ANNE WALLACE LPN
NPI 1477910792
Licensed Practical Nurse in Manorville, NY

Q: What is Susan Wallace's NPI number?

The NPI number for Susan Wallace is 1477910792. It was assigned to this individual provider in the NPPES registry on January 16, 2016.

Q: What is Susan Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wallace was last updated on January 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 16, 2016

44 BEECHWOOD DR, MANORVILLE, NY 11949(631) 909-2182 Get Directions Write a Review

NPPES record last updated: January 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Susan Anne Wallace Lpn NPPES

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

MRS. SUSAN ANNE WALLACE LPN (NPI 1477910792) is an individual licensed practical nurse in Manorville, New York, licensed in New York (323868) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1477910792

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. SUSAN ANNE WALLACECredential: LPN

Location Address44 BEECHWOOD DRManorville, NY 11949-2947

Mailing Address44 Beechwood DrManorville, NY 11949-2947 · (631) 909-2182

Phone(631) 909-2182

Sole ProprietorYes

Enumeration DateJanuary 16, 2016

✔ NPI 1477910792 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 · 323868

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.

44 BEECHWOOD DR, Manorville, NY 11949

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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 Susan Wallace's NPI number?

The NPI number for Susan Wallace is 1477910792. It was assigned to this individual provider in the NPPES registry on January 16, 2016.

Where is Susan Wallace located?

Susan Wallace practices at 44 Beechwood Dr, Manorville, NY 11949. The listed phone number is (631) 909-2182.

What is Susan 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 Susan Wallace was last updated on January 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.