National Provider Identifier Database

AMY M WALLACE, APRN, NNP-BC – NPI #1104178052
Neonatal


Contact Information

AMY M WALLACE, APRN, NNP-BC
800 ROSE ST FL 4
LEXINGTON, KY40536-0001
Phone: 859-218-2581
Fax: 859-257-1632
Website:
Specialty Taxonomy Code
* Neonatal 363LN0000X
Neonatal, Critical Care 363LN0005X

* Indicates primary specialty

NPI Profile & details for AMY M WALLACE

NPI Number 1104178052
Credentials APRN, NNP-BC
Entity Individual
Enumeration date 10/02/2012
Last updated 06/06/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • KY License #: 3007721
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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