1. Home
  2. Directory
  3. New York
  4. Selden
  5. Licensed Practical Nurse
  6. NPI Profile

PAULINE WALLACE LPN
NPI 1922385764
Licensed Practical Nurse in Selden, NY

Active since November 08, 2011
20 WILLOW ST, SELDEN, NY 11784(631) 732-2073 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pauline Wallace Lpn NPPES

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

PAULINE WALLACE LPN (NPI 1922385764) is an individual licensed practical nurse in Selden, New York, licensed in New York (044346) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1922385764
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePAULINE WALLACECredential: LPN
Location Address20 WILLOW STSelden, NY 11784-2808
Mailing Address20 Willow StSelden, NY 11784-2808 · (631) 732-2073
Phone(631) 732-2073
Sole ProprietorNo
Enumeration DateNovember 8, 2011
✔ NPI 1922385764 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 · 044346
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.
20 WILLOW ST, Selden, NY 11784
Open in Google Maps ↗

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 Pauline Wallace's NPI number?

The NPI number for Pauline Wallace is 1922385764. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Pauline Wallace located?

Pauline Wallace practices at 20 Willow St, Selden, NY 11784. The listed phone number is (631) 732-2073.

What is Pauline 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 Pauline Wallace was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.