RICHARD DAVID WALLIS PMHNP NPI 1336425982

NPI Information

NPI: 1336425982
Provider Name: RICHARD DAVID WALLIS, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
777 BANNOCK ST
DENVER, CO
ZIP 80204
Phone: (303) 436-6000
Get Directions

Richard David Wallis, PMHNP is a psychiatric/mental health nurse practitioner in Denver, CO. Richard David Wallis, PMHNP NPI is 1336425982. 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:

777 BANNOCK ST
DENVER, CO
ZIP 80204-597
Phone: (303) 436-6000

The NPI 1336425982 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 10/27/2011 and was last updated on 3/2/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0992126-NP	COLORADO	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1866	TEXAS	No

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: 11/14/2023

NPI Synchronization or Removal

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