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

Penny Sue Wallace

Individual provider Community Health Worker · NPI 1518510122

Penny Sue Wallace is a Community Health Worker in Defiance, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

6825 N State Route 66
Defiance, OH 43512-6730
Phone: (419) 782-4196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1518510122
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019
Mailing address6825 N State Route 66, Defiance, OH 43512-6730

Other providers in Defiance