Wallace, Camille Anne
Wallace, Camille Anne is an individual health care provider with primary practice located at 404 Zena Rd Ste 1 , Woodstock NY 12498-2627. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Camille Anne can be contacted via phone (845) 679-5271.Contact Information
Primary practice address
404 Zena Rd Ste 1
Woodstock NY 12498-2627
Phone: (845) 679-5271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 354716 | New York |
Profile Details
| NPI number | 1720829468 |
|---|---|
| LBN Legal business name | Wallace, Camille Anne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2024 |
| Last updated | Jul 4th, 2024 - about 5 months 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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