Heather Wallace
Heather Wallace is a Licensed Practical Nurse in Rodney, Michigan. Licensed in Michigan. Registered with an NPI since 2018.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
16615 130th AveRodney, MI 49342-9707
Phone: (517) 213-1341
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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 4703103229 (MI) |
|---|
Record details
| NPI number | 1568934362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 19, 2018 |
| Last updated in NPPES | December 19, 2018 |
| Mailing address | 16615 130th Ave, Rodney, MI 49342-9707 |