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

Desiree M Wallace, CNA

Individual provider Nurse's Aide · NPI 1093364853

Desiree M Wallace, CNA is a Nurse's Aide in Houlton, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2019

Practice location Address checks out

59 Bangor St
Houlton, ME 04730-1740
Phone: (207) 538-3700
Fax: (207) 528-2880
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence CNA67685 (ME)

Record details

NPI number1093364853
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address529 S Patten Rd, Patten, ME 04765-3007

Other providers in Houlton