MRS. RUBYE BURKS WALLACE RN NPI 1013013986

NPI Information

NPI: 1013013986
Provider Name: MRS. RUBYE BURKS WALLACE, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
249 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211
Phone: (704) 336-5492
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MRS. Rubye Burks Wallace, RN is a community health registered nurse in Charlotte, NC. MRS. Rubye Burks Wallace, RN NPI is 1013013986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

249 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211-003
Phone: (704) 336-5492
Fax: (704) 331-0859

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	063054	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01012	OTHER	NORTH CAROLINA	HEALTH DEPARTMENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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