NPI 1093631145

Aniya Wallace

Practitioner Community Health Worker Grand Blanc, MI

Practice location

Address: 6624 Rustic Ridge Trl, Grand Blanc, MI 48439-4955
Phone: (810) 652-8288

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Michigan →

Registry record

NPI: 1093631145
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2026
Record last updated: 24 Jun 2026

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.