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
Phone: (303) 443-8500
Fax: (720) 406-3664
Website:
Health care specialties
Specialty | Code | License # | 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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