Wallace, Joan

Wallace, Joan is an individual health care provider with primary practice located at 297 Promenade St , Providence RI 02908-5720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wallace, Joan can be contacted via phone (401) 490-6464.

Contact Information

Primary practice address
297 Promenade St Providence RI 02908-5720
Phone: (401) 490-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NPP20834 Rhode Island

Profile Details

NPI number 1972696938
LBN Legal business name Wallace, Joan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 11th, 2007 - about 18 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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