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

Leontine Wallace, RN, BSN

Individual provider Pediatric Registered Nurse · NPI 1053800649

Leontine Wallace, RN, BSN is a Pediatric Registered Nurse in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2300 Haggerty Rd Ste 2110
West Bloomfield, MI 48323-2191
Phone: (248) 926-1420
Fax: (248) 926-5338
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 4704318023 (MI)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 4704318023 (MI)

Record details

NPI number1053800649
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018

Other providers in West Bloomfield