Wallace, Anne Elizabeth

Wallace, Anne Elizabeth is an sole proprietor health care provider with primary practice located at 850 Mill St Ste 301 , Reno NV 89502-1484. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wallace, Anne Elizabeth can be contacted via phone (775) 982-4948.

Contact Information

Primary practice address
850 Mill St Ste 301 Reno NV 89502-1484
Fax: (775) 982-5240
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN18759 Nevada

Profile Details

NPI number 1194744623
LBN Legal business name Wallace, Anne Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Dec 3rd, 2009 - about 15 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 1194744623 NPPES
Nevada MEDICAID 100507632

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