Amanda Wallace, AAS, LPN
NPI 1760205835ActiveIndividual· Licensed Practical Nurse· Fargo, ND
Licensed Practical Nurse (AAS, LPN) in Fargo, North Dakota, licensed in ND, with an NPI issued in November 2024.
Overview
| NPI | 1760205835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AAS, LPN |
| Sole proprietor | No |
| NPI issued | Nov 6, 2024 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L12882 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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