TEREASA ANNE WALLACE RN MN NPI 1982993366

NPI Information

NPI: 1982993366
Provider Name: TEREASA ANNE WALLACE, RN, MN
Classification: Registered Nurse - 163WM0102X
Entity Type: Individual

Specialization: Maternal Newborn

Address:
1333 IRIS AVE
BOULDER, CO
ZIP 80304
Phone: (303) 443-8500
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Tereasa Anne Wallace, RN, MN is a maternal newborn registered nurse in Boulder, CO. Tereasa Anne Wallace, RN, MN NPI is 1982993366. 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:

1333 IRIS AVE
BOULDER, CO
ZIP 80304-226
Phone: (303) 443-8500
Fax: (720) 406-3664

The enumeration date for this NPI number is 4/6/2011 and was last updated on 4/6/2011.

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	163WM0102X	Registered Nurse	Maternal Newborn	92415	COLORADO	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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