MRS. DIONNE LANETTE WALLACE MSN RN CNL NPI 1386163830

NPI Information

NPI: 1386163830
Provider Name: MRS. DIONNE LANETTE WALLACE, MSN RN CNL
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
15730 MOK AVE
EASTPOINTE, MI
ZIP 48021
Phone: (586) 241-7088
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MRS. Dionne Lanette Wallace, MSN RN CNL is a medical-surgical registered nurse in Eastpointe, MI. MRS. Dionne Lanette Wallace, MSN RN CNL NPI is 1386163830. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15730 MOK AVE
EASTPOINTE, MI
ZIP 48021-367
Phone: (586) 241-7088
Fax: (585) 585-9555

The enumeration date for this NPI number is 9/15/2017 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	4704260135	MICHIGAN	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4704260135	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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