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

Sean Wallace

Individual provider Nurse's Aide · NPI 1114321650

Sean Wallace is a Nurse's Aide in Tuba City, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence CNA1000037427 (AZ)

Record details

NPI number1114321650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESOctober 13, 2014

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