National Provider Identifier
Amy Beth Wallace, LPN
Amy Beth Wallace, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Henrietta, NY and a listed phone number of (585) 359-3557.
Profile Overview
- NPI
- 1861663122
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 14, 2008
- Last Updated
- March 14, 2008
Practice Location
- 150 Gate House Trl
- Henrietta, NY 14467-9559
Phone: (585) 359-3557
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1861663122
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Amy
- Middle Name
- Beth
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 150 Gate House Trl
- Mailing City
- Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14467-9559
- Mailing Country
- US
- Mailing Phone
- (585) 359-3557
- Practice Street Address
- 150 Gate House Trl
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9559
- Practice Country
- US
- Practice Phone
- (585) 359-3557
- Enumeration Date
- March 14, 2008
- Last Updated
- March 14, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02570267 (NY)