NPI 1356891188

Brandi Wallace, MA

Practitioner Nurse's Aide Rock Island, IL

Practice location

Address: 2701 17th St, Rock Island, IL 61201-5351
Phone: (309) 779-2031

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

Other Nurse's Aide providers in Illinois →

Registry record

NPI: 1356891188
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2016
Record last updated: 5 Oct 2016

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.