MS. TINA WALLACE
Licensed Vocational Nurse
Active
Individual
NPI: 1326484056
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Yes | 31662-31 (WI) |
Frequently Asked Questions
NPI 1326484056 is the National Provider Identifier for MS. TINA WALLACE, a Licensed Vocational Nurse provider located in Kenosha, WI. This NPI was enumerated on May 21, 2013.
MS. TINA WALLACE practices at 4603 40TH AVE, Kenosha, WI 53144.
Quick Facts
- NPI
- 1326484056
- Type
- Individual
- Enumerated
- May 21, 2013
- Last Updated
- Jan 11, 2026
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