Melynda Kaye Wallace in Lebanon - Nurse Practitioner
Melynda Kaye Wallace - NPI 1881672137
Melynda Kaye Wallace is a Nurse Practitioner in Lebanon, New Hampshire. Melynda Kaye Wallace practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Melynda Kaye Wallace is 1881672137. The last update date is 2020-10-01.
Melynda Kaye Wallace's current location address is 252 Mechanic St, Lebanon, New Hampshire. You can contact this provider via phone number 6034481941 and fax number 6034486059. The mailing address for Melynda Kaye Wallace is 252 Mechanic St, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melynda Kaye Wallace |
|---|---|
| Address | 252 Mechanic St, Lebanon, New Hampshire |
| Phone Number | 6034481941 |
| Fax Number | 6034486059 |
| Sole Proprietor | Y |
| Credentials | CRNA, APRN |
NPI Number Detail
| NPI Number | 1881672137 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 252 Mechanic St |
|---|---|
| City | Lebanon |
| State | New Hampshire (NH) |
| Post Code | 37662613 |
| Phone Number | 6034481941 |
| Fax Number | 6034486059 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 040072-23-11 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1008569 | VT | -- | |
| 1008569 | NH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Melynda Kaye Wallace by the Centers for Medicare & Medicaid Services?
The Melynda Kaye Wallace has been issued the NPI (National Provider Identifier) 1881672137. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Melynda Kaye Wallace's facilities are situated?
The facilities of Melynda Kaye Wallace are physically located at the following address: 252 Mechanic St, Lebanon, NH, 37662613.
What is Melynda Kaye Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melynda Kaye Wallace's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881672137 to Melynda Kaye Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1881672137 to Melynda Kaye Wallace on 2006-01-06.
As of what date was the information pertaining to Melynda Kaye Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Melynda Kaye Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-01.