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

Angela Wallace, RN, SANE

Individual provider Administrator Registered Nurse · NPI 1366258337

Angela Wallace, RN, SANE is an Administrator Registered Nurse in Winchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3020 Old Boonesboro Rd
Winchester, KY 40391-9207
Phone: (859) 779-8291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 1096760 (KY)

Record details

NPI number1366258337
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , SANE
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address3020 Old Boonesboro Rd, Winchester, KY 40391-9207