Heather Wallace
Licensed Practical Nurse · Rodney, MI
Practice location
16615 130TH AveRodney, MI 49342-9707
- Phone
- (517) 213-1341
NPI record
- NPI
- 1568934362
- Entity type
- Individual (Type 1)
- Enumeration date
- December 19, 2018
- Last updated
- December 19, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
4703103229 | MI |
About Heather Wallace
Heather Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 16615 130TH Ave, Rodney, MI 49342-9707. The NPI number 1568934362 was assigned on December 19, 2018 and the record was last updated on December 19, 2018.
Heather Wallace lists a license in the registry: #4703103229 (MI) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Heather Wallace?
The NPI number is 1568934362.
What is the phone number of Heather Wallace?
The phone number listed for the practice location is (517) 213-1341.
Where is Heather Wallace located?
16615 130TH Ave, Rodney, MI 49342-9707.
What is the taxonomy code for Heather Wallace?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.