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

Amanda Wallace, AAS, LPN

Individual provider Licensed Practical Nurse · NPI 1760205835

Amanda Wallace, AAS, LPN is a Licensed Practical Nurse in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2024.

Licensed in
ND
In the registry since
2024
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L12882 (ND)

Record details

NPI number1760205835
Entity typeIndividual (Type 1)
GenderFemale
Credentials AAS , LPN
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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