Susan Ann Wallace is a Adult Health in Lutz, Florida. Susan Ann Wallace practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Susan Ann Wallace is 1104000199. The last update date is 2007-12-26.
Susan Ann Wallace's current location address is 17501 Dale Mabry Hwy N, Lutz, Florida. You can contact this provider via phone number 8139621000. The mailing address for Susan Ann Wallace is 17501 Dale Mabry Hwy N, Lutz, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ann Wallace |
|---|---|
| Address | 17501 Dale Mabry Hwy N, Lutz, Florida |
| Phone Number | 8139621000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104000199 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | 17501 Dale Mabry Hwy N |
|---|---|
| City | Lutz |
| State | Florida (FL) |
| Post Code | 335484521 |
| Phone Number | 8139621000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | ARNP3262052 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Ann Wallace by the Centers for Medicare & Medicaid Services?
The Susan Ann Wallace has been assigned the NPI (National Provider Identifier) 1104000199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Susan Ann Wallace is physically located?
The Susan Ann Wallace is physically situated at the following address: 17501 Dale Mabry Hwy N, Lutz, FL, 335484521.
What is Susan Ann 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 Susan Ann Wallace is Adult Health, and the taxonomy classification code that categorizes this area of expertise is 363La2200X.
On what date did Susan Ann Wallace receive its 1104000199 assignment from the Centers for Medicare & Medicaid Services?
The Susan Ann Wallace was assigned its 1104000199 on 2007-12-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susan Ann Wallace most recently updated or revised?
The details related to Susan Ann Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-26.