Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Marie Wallace NP in Family Health PLLC

Organization Family Nurse Practitioner · NPI 1336990019

Kim Marie Wallace NP in Family Health PLLC is a Family Nurse Practitioner in Sayville, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Dunn Ct
Sayville, NY 11782-2002
Phone: (631) 375-4211
Fax: (833) 605-4049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1336990019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Marie Wallace-Schlick — Fnp · (631) 375-4211
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address20 Dunn Ct, Sayville, NY 11782-2002

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