Wallace, Amy M

Wallace, Amy M is an individual health care provider with primary practice located at 7777 W 38Th Ave Suite 130, Wheat Ridge CO 80033-6168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wallace, Amy M can be contacted via phone (720) 418-8182.

Contact Information

Primary practice address
7777 W 38Th Ave Suite 130 Wheat Ridge CO 80033-6168
Phone: (720) 418-8182
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 101447 Colorado

Profile Details

NPI number 1073540175
LBN Legal business name Wallace, Amy M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 19th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073540175 NPPES
Colorado MEDICAID 07014475

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