National Provider Identifier
Sally Joy Walck, LPN
Sally Joy Walck, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 563-5905.
Profile Overview
- NPI
- 1164609392
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 30, 2008
- Last Updated
- March 17, 2020
Practice Location
- 231 Broad St Apt 1
- Tonawanda, NY 14150-2029
Phone: (716) 563-5905
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1164609392
- Entity Type
- Individual
- Last Name
- Walck
- First Name
- Sally
- Middle Name
- Joy
- Credential
- LPN
- Mailing Street Address
- 231 Broad St Apt 1
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-2029
- Mailing Country
- US
- Mailing Phone
- (716) 563-5905
- Practice Street Address
- 231 Broad St Apt 1
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-2029
- Practice Country
- US
- Practice Phone
- (716) 563-5905
- Enumeration Date
- January 30, 2008
- Last Updated
- March 17, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- A687 (NY)