Ms. La' Taysia Wallace is a Huntington Station, New York based nurse practitioner. Active license number of Ms. La' Taysia Wallace is F383676-01 for Pediatrics in New York. Her current practice location is 21 Penny Dr, Huntington Station. Patients can reach her at 516-850-9623. Ms. La' Taysia Wallace is MSN, RN, CPNP-PC and her NPI number (Unique professional ID assigned by NPPES) is 1114297074. Ms. La' Taysia Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. La' Taysia Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. La' Taysia Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
MSN, RN, CPNP-PC
Practice Address:
21 Penny Dr, Huntington Station, New York, 11746-3422
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114297074
NPI Enumeration Date:
10 Jan, 2012
NPI Last Update On:
02 Apr, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. La' Taysia Wallace are as mentioned below.
License Number
Specialization
State
Status
F383676-01
Pediatrics
New York
Primary
716807-1
Registered Nurse
New York
Secondary
308886-1
Licensed Practical Nurse
New York
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. La' Taysia Wallace Po Box 3644, Mount Vernon, New York
Zip:
10553-3644
Phone Number:
516-850-9623
Patients can reach Ms. La' Taysia Wallace at 21 Penny Dr, Huntington Station, New York or can call to book an appointment on 516-850-9623.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.