What is Susan Wallace's NPI number?

Susan Wallace's National Provider Identifier (NPI) is 1477910792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Susan Wallace's specialty?

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

Where is Susan Wallace located?

Susan Wallace's practice location on file with NPPES is 44 Beechwood Dr, Manorville, NY 11949-2947.

What is Susan Wallace's phone number?

The practice phone number listed in the NPPES registry for Susan Wallace is (631) 909-2182.

Is Susan Wallace's NPI active?

Yes — Susan Wallace's NPI (1477910792) is active in the NPPES registry as of the last update on 2016-01-16.

IndividualActive

Susan Wallace, LPN

NPI 1477910792 · Licensed Practical Nurse · Manorville, NY

Susan Wallace, LPN is a Licensed Practical Nurse provider in Manorville, NY (NPI 1477910792).

Provider details

NPI number: 1477910792
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 323868 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 323868 (NY)
Nursing Service Providers

Profile Score

Established profile(72/100 index)

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

Registry tenure38% of score
10 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

44 Beechwood Dr

Manorville, NY 11949-2947

Phone: (631) 909-2182

Street-level locationGet directions

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Mailing address