Wallace, Amy M

Wallace, Amy M is an individual health care provider with primary practice located at 800 Rose St Fl 4 , Lexington KY 40536-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Wallace, Amy M can be contacted via phone (859) 218-2581.

Contact Information

Primary practice address
800 Rose St Fl 4 Lexington KY 40536-0001
Phone: (859) 218-2581
Fax: (859) 257-1632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 3007721 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 3007721 Kentucky

Profile Details

NPI number 1104178052
LBN Legal business name Wallace, Amy M
Credentials APRN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated Jun 6th, 2024 - about last year

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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