Wallace, Donna C
Wallace, Donna C is an individual health care provider with primary practice located at 2910 N 3Rd Ave , Phoenix AZ 85013-4434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wallace, Donna C can be contacted via phone (602) 406-3632.Contact Information
Primary practice address
2910 N 3Rd Ave
Phoenix AZ 85013-4434
Phone: (602) 406-3632
Fax: (602) 406-6126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN041572 | Arizona |
Profile Details
| NPI number | 1346236122 |
|---|---|
| LBN Legal business name | Wallace, Donna C |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Sep 3rd, 2014 - 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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