PEGGY ANN WALLACE LPN
NPI 1609276344
Licensed Practical Nurse in Mesa, AZ
- Individual
- Female
- Licensed Practical Nurse
About PEGGY WALLACE
This page provides the complete NPI Profile along with additional information for Peggy Wallace, a provider established in Mesa, Arizona with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1609276344 assigned on August 2014. The practitioner's primary taxonomy code is 164W00000X with license number 031264 (AZ). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1609276344 Verify this NPI
- Provider Name
- PEGGY ANN WALLACE LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7428 E BASELINE RD MESA, AZ 85209
- Location Phone
- (480) 334-5385
- Mailing Address
- 7428 E BASELINE RD MESA, AZ 85209
- Mailing Phone
- (480) 334-5385
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-29-2014
- Last Update Date
- 08-29-2014
- Code Navigator
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
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 031264
- License State
- AZ
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609276344, enumerated as an "individual" on August 29, 2014.
The provider is located at 7428 E BASELINE RD MESA, AZ 85209 and the phone number is (480) 334-5385.
Licensed Practical Nurse with taxonomy code 164W00000X.
