Wallace, Stephanie E

Wallace, Stephanie E is an individual health care provider with primary practice located at 200 Mercy Circle , Camp Pendleton CA 92055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wallace, Stephanie E can be contacted via phone (760) 719-4970.

Contact Information

Primary practice address
200 Mercy Circle Camp Pendleton CA 92055
Phone: (760) 719-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R225183 Maryland

Profile Details

NPI number 1427534718
LBN Legal business name Wallace, Stephanie E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 6 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

Popular Providers