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

Sharandell Rena Wallace

Individual provider Licensed Practical Nurse · NPI 1235087008

Sharandell Rena Wallace is a Licensed Practical Nurse in Blue Springs, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

605 SW US Highway 40 # 146
Blue Springs, MO 64014-3232
Phone: (816) 479-1426
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 2015022803 (MO)

Record details

NPI number1235087008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address605 Sw Us Highway 40 # 146, Blue Springs, MO 64014-3232

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