What is Hattie Wallace's NPI number?

Hattie Wallace's National Provider Identifier (NPI) is 1164796520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Hattie Wallace's specialty?

Hattie Wallace is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Hattie Wallace located?

Hattie Wallace's practice location on file with NPPES is 14625 S Mountain Pkwy, Phoenix, AZ 85044-7142.

What is Hattie Wallace's phone number?

The practice phone number listed in the NPPES registry for Hattie Wallace is (602) 565-2159.

Is Hattie Wallace's NPI active?

Yes — Hattie Wallace's NPI (1164796520) is active in the NPPES registry as of the last update on 2012-03-02.

IndividualActive

Hattie Wallace

NPI 1164796520 · Licensed Practical Nurse · Phoenix, AZ

Hattie Wallace is a Licensed Practical Nurse provider in Phoenix, AZ (NPI 1164796520).

Provider details

NPI number: 1164796520
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: LP044351 (AZ)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense LP044351 (AZ)
Nursing Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

14625 S Mountain Pkwy

Apt 1056

Phoenix, AZ 85044-7142

Phone: (602) 565-2159

Street-level locationGet directions

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Mailing address