| Angela Wallace, RN, SANE | |
| 
					3020 Old Boonesboro Rd, Winchester, KY 40391-9207  | |
| (859) 779-8291 | |
| Not Available | 
| Full Name | Angela Wallace | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Administrator | 
| Location | 3020 Old Boonesboro Rd, Winchester, Kentucky | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366258337 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WA2000X | Registered Nurse - Administrator | 1096760 (Kentucky) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela Wallace, RN, SANE 3020 Old Boonesboro Rd, Winchester, KY 40391-9207 Ph: (859) 779-8291  | Angela Wallace, RN, SANE 3020 Old Boonesboro Rd, Winchester, KY 40391-9207 Ph: (859) 779-8291  | 
Mrs. Jessica Thomas Mcmaine, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1850 Bypass Rd, Winchester, KY 40391 Phone: 859-744-5111 Fax: 859-744-1177  | |
Jealena C Reesor, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1520 Boonesboro Rd, Winchester, KY 40391 Phone: 859-744-0067 Fax: 859-744-0042  | |
Jennifer Gibson, RN, MSN, NE-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 706 Crockett Ct, Winchester, KY 40391 Phone: 859-556-1234  | |
Mr. Mack Anderson Kidd Iii, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 105 Lindberg Rd., Winchester, KY 40391 Phone: 859-744-9091  | |
Laurie Miller, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 Enterprise Dr, Winchester, KY 40391 Phone: 859-398-3732  | |
Ms. Brenda H Caudill, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 1520 Boonesboro Rd, Winchester, KY 40391 Phone: 859-744-0067 Fax: 859-744-0042  |