Victoria Anne Wallace in Fairbanks - Family
Victoria Anne Wallace - NPI 1295769859
Victoria Anne Wallace is a Family in Fairbanks, Alaska. Victoria Anne Wallace practices all healthcare services and medical treatments related to Family. The NPI Number for Victoria Anne Wallace is 1295769859. The last update date is 2023-03-07.
Victoria Anne Wallace's current location address is 1931 Eagan Ave, Fairbanks, Alaska. You can contact this provider via phone number 9074586700. The mailing address for Victoria Anne Wallace is 1931 Eagan Ave, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victoria Anne Wallace |
|---|---|
| Address | 1931 Eagan Ave, Fairbanks, Alaska |
| Phone Number | 9074586700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1295769859 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1931 Eagan Ave |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997015703 |
| Phone Number | 9074586700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 713 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP0254 | AK | -- | |
| NP02541 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Victoria Anne Wallace by the Centers for Medicare & Medicaid Services?
The Victoria Anne Wallace has been issued the NPI (National Provider Identifier) 1295769859 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Victoria Anne Wallace's physical address?
The Victoria Anne Wallace is physically located at 1931 Eagan Ave, in the city of Fairbanks, AK, with the postal code 997015703.
What is the Victoria Anne Wallace's area of specialization and corresponding taxonomy classification?
The Victoria Anne Wallace's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did the Victoria Anne Wallace receive its 1295769859?
The Victoria Anne Wallace was issued its 1295769859 on 2006-07-10, which is the date when the organization was assigned this unique identifier.
When was the Victoria Anne Wallace's information last updated?
The Victoria Anne Wallace's information was last updated on 2023-03-07.