Wallace, Tresa C

Wallace, Tresa C is an sole proprietor health care provider with primary practice located at 110 Bellemeade Blvd. Suite A, Gretna LA 70056-2954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wallace, Tresa C can be contacted via phone (504) 309-2576.

Contact Information

Primary practice address
110 Bellemeade Blvd. Suite A Gretna LA 70056-2954
Fax: (504) 309-2589
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP07277 Louisiana

Profile Details

NPI number 1245673565
LBN Legal business name Wallace, Tresa C
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2013
Last updated Jul 24th, 2020 - about 4 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