IndividualActive
Angela Wallace, RN, SANE
NPI 1366258337 · Administrator Registered Nurse · Winchester, KY
Provider details
- NPI number
- 1366258337
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN, SANE
- Sex
- Female
- Sole proprietor
- No
- License
- 1096760 (KY)
Practice location
3020 Old Boonesboro Rd
Winchester, KY 40391-9207
Phone: (859) 779-8291
Mailing address
3020 Old Boonesboro Rd
Winchester, KY 40391-9207
Registry dates
- Enumerated
- 2024-12-05
- Last updated
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.