Wallace, Felicia Marie

Wallace, Felicia Marie is an individual health care provider with primary practice located at 16001 West 9 Mile Road , Southfield MI 48075. 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, Felicia Marie can be contacted via phone (248) 849-2528.

Contact Information

Primary practice address
16001 West 9 Mile Road Southfield MI 48075
Phone: (248) 849-2528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704238067 Michigan

Profile Details

NPI number 1154692523
LBN Legal business name Wallace, Felicia Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Feb 27th, 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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