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

Bethany Faith Wallace

Individual provider Nurse's Aide · NPI 1346065240

Bethany Faith Wallace is a Nurse's Aide in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1600 SW Archer Rd Fl 5
Gainesville, FL 32610-3003
Phone: (352) 265-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 439086 (FL)

Record details

NPI number1346065240
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 17, 2024
Mailing address7494 Appomattox Ave, Keystone Heights, FL 32656-8103

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