Sharandell Rena Wallace, is a
Licensed Practical Nurse based in Blue Springs, Missouri. Sharandell Rena Wallace is licensed to practice in Missouri (license number 2015022803) and her current practice location is
605 Sw Us Highway 40 # 146, Blue Springs, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 479-1426.
NPI number for Sharandell Rena Wallace is 1235087008 and her current mailing address is 605 Sw Us Highway 40 # 146, Blue Springs, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235087008.
Provider's Profile
| Full Name | Sharandell Rena Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 605 Sw Us Highway 40 # 146, Blue Springs, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235087008
- Provider Enumeration Date: 03/18/2026
- Last Update Date: 03/18/2026
Medical Identifiers
Medical identifiers for Sharandell Rena Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235087008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 2015022803 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sharandell Rena Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sharandell Rena Wallace, 605 Sw Us Highway 40 # 146, Blue Springs, MO 64014-3232 Ph: (816) 479-1426 | Sharandell Rena Wallace, 605 Sw Us Highway 40 # 146, Blue Springs, MO 64014-3232 Ph: (816) 479-1426 |
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