Eveline S. Wallace in Orlando - Adult Health
Eveline S. Wallace - NPI 1427058932
Eveline S. Wallace is a Adult Health in Orlando, Florida. Eveline S. Wallace practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Eveline S. Wallace is 1427058932. The last update date is 2021-11-11.
Eveline S. Wallace's current location address is 2415 N Orange Ave, Orlando, Florida. You can contact this provider via phone number 4073037171 and fax number 4073037195. The mailing address for Eveline S. Wallace is 2415 N Orange Ave, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eveline S. Wallace |
|---|---|
| Address | 2415 N Orange Ave, Orlando, Florida |
| Phone Number | 4073037171 |
| Fax Number | 4073037195 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1427058932 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 2415 N Orange Ave |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328045505 |
| Phone Number | 4073037171 |
| Fax Number | 4073037195 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 1728202 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00360116 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eveline S. Wallace?
The Eveline S. Wallace has been issued the NPI (National Provider Identifier) 1427058932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Eveline S. Wallace is geographically located?
The Eveline S. Wallace is physically situated at the following location: 2415 N Orange Ave, Orlando, FL, 328045505.
What is the Eveline S. Wallace's specialty and taxonomy code?
The Eveline S. Wallace's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date was the 1427058932 assigned to Eveline S. Wallace?
The Eveline S. Wallace was issued its 1427058932 on 2005-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Eveline S. Wallace most recently updated or revised?
The information pertaining to Eveline S. Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-11.