Angela M Wallace in Fort Belvoir - Neonatal, Critical Care

Angela M Wallace - NPI 1073584652

Angela M Wallace is a Neonatal, Critical Care in Fort Belvoir, Virginia. Angela M Wallace practices all healthcare services and medical treatments related to Neonatal, Critical Care. The NPI Number for Angela M Wallace is 1073584652. The last update date is 2018-02-28.

Angela M Wallace's current location address is 9300 Dewitt Loop Dept Of, Fort Belvoir, Virginia. You can contact this provider via phone number 5712311015. The mailing address for Angela M Wallace is 9300 Dewitt Loop Dept Of, Fort Belvoir, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela M Wallace
Address 9300 Dewitt Loop Dept Of, Fort Belvoir, Virginia
Phone Number 5712311015
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1073584652
Provider Enumeration Date 2006-01-31
Last Updated Date 2018-02-28

Provider Mailing Address Detail

Address 9300 Dewitt Loop Dept Of
City Fort Belvoir
State Virginia (VA)
Post Code 220605285
Phone Number 5712311015
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neonatal, Critical Care
Taxonomy 363Ln0005X
Licence No 24093871
Definition:
An advanced practice registered nurse expert in specialized critical care for high-risk, critically ill newborns.

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FAQs about Angela M Wallace

What is the unique identification code assigned to Angela M Wallace by the Centers for Medicare & Medicaid Services?

The Angela M Wallace has been issued the NPI (National Provider Identifier) 1073584652. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Angela M Wallace's facilities are geographically located?

The facilities of Angela M Wallace are physically situated at the following location: 9300 Dewitt Loop Dept Of, Fort Belvoir, VA, 220605285.

What is Angela M Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Angela M Wallace's specialized field of practice is Neonatal, Critical Care, and the corresponding taxonomy code that categorizes this area of specialization is 363Ln0005X.

On what date was the 1073584652 assigned to Angela M Wallace?

The Angela M Wallace was issued its 1073584652 on 2006-01-31, 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 Angela M Wallace most recently updated or revised?

The information pertaining to Angela M Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2018-02-28.

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