Wallace, Carrie Leigh

Wallace, Carrie Leigh is an sole proprietor health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. 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, Carrie Leigh can be contacted via phone (714) 289-4934.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13730 California

Profile Details

NPI number 1265648596
LBN Legal business name Wallace, Carrie Leigh
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 17 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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