Wallace, Patricia G

Wallace, Patricia G is an individual health care provider with primary practice located at 4847 E Virginia St Ste D , Evansville IN 47715-2611. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wallace, Patricia G can be contacted via phone (812) 479-1242.

Contact Information

Primary practice address
4847 E Virginia St Ste D Evansville IN 47715-2611
Phone: (812) 479-1242
Fax: (812) 479-1330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 70000099B Indiana
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 70000099A Indiana

Profile Details

NPI number 1356368849
LBN Legal business name Wallace, Patricia G
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356368849 NPPES
Indiana Other 000000492046 ANTHEM

Popular Providers