National Provider Identifier
Pamela Yvette Wallace, LPN
Pamela Yvette Wallace, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 852-5900.
Profile Overview
- NPI
- 1629367990
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 07, 2011
- Last Updated
- April 07, 2011
Practice Location
- 360 Delaware Ave
- Suite 310 Interim Healthcare
- Buffalo, NY 14202-1620
Phone: (716) 852-5900
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1629367990
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Pamela
- Middle Name
- Yvette
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 360 Delaware Ave
- Mailing Address Line 2
- Suite 310 Interim Healthcare
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1620
- Mailing Country
- US
- Mailing Phone
- (716) 852-5900
- Mailing Fax
- (716) 852-5913
- Practice Street Address
- 360 Delaware Ave
- Practice Address Line 2
- Suite 310 Interim Healthcare
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1620
- Practice Country
- US
- Practice Phone
- (716) 852-5900
- Practice Fax
- (716) 852-5913
- Enumeration Date
- April 07, 2011
- Last Updated
- April 07, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)