NPI 1003072414

Timothy Thomas Wallace, RN

Practitioner Psychiatric/Mental Health Registered Nurse Brecksville, OH

Practice location

Address: 10000 Brecksville Rd, Brecksville, OH 44141-3204
Phone: (440) 526-3030

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0808X Licence RN295020 (OH)

Other Registered Nurse providers in Ohio →

Registry record

NPI: 1003072414
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2008
Record last updated: 5 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.