Tamara Jane Wallace in Westerville - Neonatal
Tamara Jane Wallace - NPI 1073780045
Tamara Jane Wallace is a Neonatal in Westerville, Ohio. Tamara Jane Wallace practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Tamara Jane Wallace is 1073780045. The last update date is 2022-03-28.
Tamara Jane Wallace's current location address is 6283 Enclave Blvd, Westerville, Ohio. You can contact this provider via phone number 6143618430. The mailing address for Tamara Jane Wallace is 6283 Enclave Blvd, Westerville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Jane Wallace |
|---|---|
| Address | 6283 Enclave Blvd, Westerville, Ohio |
| Phone Number | 6143618430 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1073780045 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2022-03-28 |
Provider Mailing Address Detail
| Address | 6283 Enclave Blvd |
|---|---|
| City | Westerville |
| State | Ohio (OH) |
| Post Code | 430827576 |
| Phone Number | 6143618430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | APN000001545 |
|
Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201101 | OH | -- | |
| 606646 | WELL CARE | ||
| 4299578 | TN | TNCARE BLCARE | |
| 129252 | AL | -- | |
| 003109104C | GA | -- | |
| 003109104C | GA | AMERIGROUP GA |
Post Comment/ Review Below
What is the unique identifier code issued to Tamara Jane Wallace by the Centers for Medicare & Medicaid Services?
The Tamara Jane Wallace has been assigned the NPI (National Provider Identifier) 1073780045. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tamara Jane Wallace located?
The Tamara Jane Wallace is located at 6283 Enclave Blvd, Westerville, OH 430827576.
What is the Tamara Jane Wallace's specialty and taxonomy code?
The Tamara Jane Wallace's specialty is Neonatal, and the corresponding taxonomy code is 363Ln0000X.
On what date was the 1073780045 assigned to Tamara Jane Wallace?
The Tamara Jane Wallace was issued its 1073780045 on 2008-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tamara Jane Wallace most recently updated or refreshed?
The details pertaining to the Tamara Jane Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-28.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI