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

MS. La' Taysia Wallace, MSN, RN, CPNP-PC

Individual provider Registered Nurse · NPI 1114297074

MS. La' Taysia Wallace, MSN, RN, CPNP-PC is a Registered Nurse in Huntington Station, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

21 Penny Dr
Huntington Station, NY 11746-3422
Phone: (516) 850-9623
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F383676-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 716807-1 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 308886-1 (NY)

Record details

NPI number1114297074
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , RN , CPNP-PC
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Other providers in Huntington Station