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:
Health care specialties
Specialty | Code | License # | 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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