Ama Gean Wallace in Little Rock - Dietitian, Registered
Ama Gean Wallace - NPI 1982796405
Ama Gean Wallace is a Dietitian, Registered in Little Rock, Arkansas. Ama Gean Wallace practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Ama Gean Wallace is 1982796405. The last update date is 2007-07-08.
Ama Gean Wallace's current location address is 22 Latour, Little Rock, Arkansas. You can contact this provider via phone number 5012572017 and fax number 5012572026. The mailing address for Ama Gean Wallace is 22 Latour, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ama Gean Wallace |
|---|---|
| Address | 22 Latour, Little Rock, Arkansas |
| Phone Number | 5012572017 |
| Fax Number | 5012572026 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1982796405 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22 Latour |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722238904 |
| Phone Number | 5012572017 |
| Fax Number | 5012572026 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 257 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R660145 | AR | REGISTRATION NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ama Gean Wallace by the Centers for Medicare & Medicaid Services?
The Ama Gean Wallace has been issued the NPI (National Provider Identifier) 1982796405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ama Gean Wallace is physically located?
The Ama Gean Wallace is physically situated at the following address: 22 Latour, Little Rock, AR, 722238904.
What is Ama Gean Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ama Gean Wallace's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did the Ama Gean Wallace receive the assignment of its 1982796405 from the Centers for Medicare & Medicaid Services?
The Ama Gean Wallace was issued its 1982796405 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the Ama Gean Wallace's information last updated?
The Ama Gean Wallace's information was last updated on 2007-07-08.