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

Miss. Carrie Marie Wallace, LPN

Individual provider Licensed Practical Nurse · NPI 1306518089

Miss. Carrie Marie Wallace, LPN is a Licensed Practical Nurse in Marietta, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

472 Pike St
Marietta, OH 45750
Phone: (740) 236-4452
Fax: (740) 236-4453
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 115406 (OH)

Record details

NPI number1306518089
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

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