Wallace, Gina Marie

Wallace, Gina Marie is an individual health care provider with primary practice located at 970 Route 146 , Clifton Park NY 12065-3643. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wallace, Gina Marie can be contacted via phone (518) 881-0461.

Contact Information

Primary practice address
970 Route 146 Clifton Park NY 12065-3643
Phone: (518) 881-0461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 586664 New York

Profile Details

NPI number 1598049801
LBN Legal business name Wallace, Gina Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Jan 4th, 2012 - about 12 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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