IndividualActive
Emily Wallace
NPI 1619711744 · Pediatric Registered Nurse · Springdale, AR
Provider details
- NPI number
- 1619711744
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R096399 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
5205 Bryant Pl
Springdale, AR 72764-2588
Phone: (501) 413-7582
Approximate (ZIP-level) locationGet directions
Mailing address
5205 Bryant Pl
Springdale, AR 72764-2588
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2024-06-24
- Certified
- 2024-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.