SearchNew YorkPediatric Nurse Practitioner

La' Taysia Wallace, MSN, RN, CPNP-PC

NPI 1114297074 · on the registry since 2012

Practice

Address
21 Penny Dr
Huntington Station, NY 11746
Phone
(516) 850-9623

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Also registered as
Registered Nurse
Licensed Practical Nurse
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York