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

Amber Leigh Wallace, LPN

Individual provider Licensed Practical Nurse · NPI 1043673643

Amber Leigh Wallace, LPN is a Licensed Practical Nurse in Hart, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

113 Riverside Dr
Hart, MI 49420-1077
Phone: (231) 220-4620
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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 4703108739 (MI)

Record details

NPI number1043673643
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESMarch 31, 2016