Joseph, Wally

Joseph, Wally is an sole proprietor health care provider with primary practice located at 600 W Sunset Rd Ste 102 , Henderson NV 89011-4112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Joseph, Wally can be contacted via phone (725) 241-5252.

Contact Information

Primary practice address
600 W Sunset Rd Ste 102 Henderson NV 89011-4112
Phone: (725) 241-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 836179 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 836179 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004317 California

Profile Details

NPI number 1326595125
LBN Legal business name Joseph, Wally
Credentials NP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2016
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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