Nicole Marie Wallace in Virginia Beach - Specialist
Nicole Marie Wallace - NPI 1609089028
Nicole Marie Wallace is a Specialist in Virginia Beach, Virginia. Nicole Marie Wallace practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nicole Marie Wallace is 1609089028. The last update date is 2019-03-18.
Nicole Marie Wallace's current location address is 913 First Colonial Rd Ste 204, Virginia Beach, Virginia. You can contact this provider via phone number 7575500725. The mailing address for Nicole Marie Wallace is 913 First Colonial Rd Ste 204, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Marie Wallace |
|---|---|
| Address | 913 First Colonial Rd Ste 204, Virginia Beach, Virginia |
| Phone Number | 7575500725 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1609089028 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2019-03-18 |
Provider Mailing Address Detail
| Address | 913 First Colonial Rd Ste 204 |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234543198 |
| Phone Number | 7575500725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nicole Marie Wallace by the Centers for Medicare & Medicaid Services?
The Nicole Marie Wallace has been assigned the NPI (National Provider Identifier) 1609089028 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nicole Marie Wallace?
The Nicole Marie Wallace is physically situated at 913 First Colonial Rd Ste 204, in the city of Virginia Beach, state of VA, with the postal code 234543198.
What is Nicole Marie Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicole Marie Wallace is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Nicole Marie Wallace receive its 1609089028 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Marie Wallace was assigned its 1609089028 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Nicole Marie Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicole Marie Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-18.