Wallace, Peggy Ann

Wallace, Peggy Ann is an sole proprietor health care provider with primary practice located at 7428 E Baseline Rd , Mesa AZ 85209-4902. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wallace, Peggy Ann can be contacted via phone (480) 334-5385.

Contact Information

Primary practice address
7428 E Baseline Rd Mesa AZ 85209-4902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 031264 Arizona

Profile Details

NPI number 1609276344
LBN Legal business name Wallace, Peggy Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2014
Last updated Aug 29th, 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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