MAXANA WILBY-WALLACE ANP NPI 1174718654

NPI Information

NPI: 1174718654
Provider Name: MAXANA WILBY-WALLACE, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1901 1ST AVE
EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTER
NEW YORK, NY
ZIP 10029
Phone: (212) 423-6384
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Maxana Wilby-wallace, ANP is an adult health nurse practitioner in New York, NY. Maxana Wilby-wallace, ANP NPI is 1174718654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 1ST AVE
EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTER
NEW YORK, NY
ZIP 10029-404
Phone: (212) 423-6384
Fax: (212) 423-8602

The NPI 1174718654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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

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	363LA2200X	Nurse Practitioner	Adult Health	F303569	NEW YORK	Yes

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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