What is Mary Wallis's NPI number?

Mary Wallis's National Provider Identifier (NPI) is 1790430650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Wallis's specialty?

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

Where is Mary Wallis located?

Mary Wallis's practice location on file with NPPES is 2516 Candy Ln Lot 17, Eaton, NY 13334-3286.

What is Mary Wallis's phone number?

The practice phone number listed in the NPPES registry for Mary Wallis is (315) 679-1638.

Is Mary Wallis's NPI active?

Yes — Mary Wallis's NPI (1790430650) is active in the NPPES registry as of the last update on 2022-02-18.

IndividualActive

Mary Wallis

NPI 1790430650 · Licensed Practical Nurse · Eaton, NY

Mary Wallis is a Licensed Practical Nurse provider in Eaton, NY (NPI 1790430650).

Provider details

NPI number: 1790430650
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 332738 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 332738 (NY)
Nursing Service Providers

Profile Score

Established profile(61/100 index)

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

Registry tenure38% of score
4 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

2516 Candy Ln Lot 17

Eaton, NY 13334-3286

Phone: (315) 679-1638

Street-level locationGet directions

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Mailing address