Wallace, Tereasa Anne

Wallace, Tereasa Anne is an individual health care provider with primary practice located at 1333 Iris Ave , Boulder CO 80304-2226. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Wallace, Tereasa Anne can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1333 Iris Ave Boulder CO 80304-2226
Fax: (720) 406-3664
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 92415 Colorado

Profile Details

NPI number 1982993366
LBN Legal business name Wallace, Tereasa Anne
Credentials RN, MN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Apr 6th, 2011 - about 13 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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