Donna D Wallace in Minneapolis - Nurse Practitioner

Donna D Wallace - NPI 1952321200

Donna D Wallace is a Nurse Practitioner in Minneapolis, Minnesota. Donna D Wallace practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Donna D Wallace is 1952321200. The last update date is 2007-07-08.

Donna D Wallace's current location address is 920 E 28th St, Minneapolis, Minnesota. You can contact this provider via phone number 6128639062 and fax number 6128639252. The mailing address for Donna D Wallace is 920 E 28th St, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Donna D Wallace
Address 920 E 28th St, Minneapolis, Minnesota
Phone Number 6128639062
Fax Number 6128639252
Sole Proprietor N
Credentials A.N.P.

NPI Number Detail

NPI Number 1952321200
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 920 E 28th St
City Minneapolis
State Minnesota (MN)
Post Code 554071139
Phone Number 6128639062
Fax Number 6128639252

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R1248670
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Donna D Wallace

What is the unique 10-digit identifier code assigned to Donna D Wallace by the Centers for Medicare & Medicaid Services?

The Donna D Wallace has been issued the NPI (National Provider Identifier) 1952321200 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 Donna D Wallace is physically located?

The Donna D Wallace is physically situated at the following address: 920 E 28Th St, Minneapolis, MN, 554071139.

What is the Donna D Wallace's specialty and taxonomy code?

The Donna D Wallace's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date did Donna D Wallace receive its 1952321200 assignment from the Centers for Medicare & Medicaid Services?

The Donna D Wallace was assigned its 1952321200 on 2006-07-20, 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 Donna D Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Donna D Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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