MS. SUZANNE BETH WALLACE APRNBC NPI 1265554240

NPI Information

NPI: 1265554240
Provider Name: MS. SUZANNE BETH WALLACE, APRN,BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2500 OVERLOOK TER
MADISON, WI
ZIP 53705
Phone: (608) 256-1901
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MS. Suzanne Beth Wallace, APRN,BC is an adult health nurse practitioner in Madison, WI. MS. Suzanne Beth Wallace, APRN,BC NPI is 1265554240. 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:

2500 OVERLOOK TER
MADISON, WI
ZIP 53705-254
Phone: (608) 256-1901

The NPI 1265554240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2007 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	363LA2200X	Nurse Practitioner	Adult Health	3054-033	WISCONSIN	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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