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NPI Profile for ANGELA WALLACE in WINCHESTER, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI Number | 1366258337 |
|
| Status | Active | |
| Credentials | RN, SANE | |
| Entity | Individual | |
| Enumeration date | 12/05/2024 | |
| Last updated | 12/05/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANGELA WALLACE
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ANGELA WALLACE, RN, SANE