IndividualActive
Kenda Wallace, RN
NPI 1316007339 · Infection Control Registered Nurse · Phoenix, AZ
Provider details
- NPI number
- 1316007339
- Entity type
- Individual
- Primary specialty
- Infection Control Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- E42490 (CT)
Practice location
4212 North 16th St,
Phoenix, AZ 85016
Phone: (602) 263-1511
Fax: (602) 263-1619
Mailing address
Po Box 31001-0698
Pasadena, CA 91110-0698
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.