WALLACE HEALTH LLC NPI 1598356289

NPI Information

NPI: 1598356289
Provider Name: WALLACE HEALTH, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
287 S CENTRAL AVE
UMATILLA, FL
ZIP 32784
Phone: (352) 747-0747
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WALLACE HEALTH, LLC is an adult health nurse practitioner in Umatilla, FL. WALLACE HEALTH, LLC NPI is 1598356289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

287 S CENTRAL AVE
UMATILLA, FL
ZIP 32784-411
Phone: (352) 747-0747

The provider's authorized official is Colleen Wallace .
The authorized official title is Owner and has the following contact phone number (352) 747-0747.

The enumeration date for this NPI number is 1/27/2021 and was last updated on 1/27/2021.

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	363LA2200X	Nurse Practitioner	Adult Health			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: 5/5/2024

NPI Synchronization or Removal

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