Judith Mary Wallace in Evergreen - Neonatal, Critical Care
Judith Mary Wallace - NPI 1922210343
Judith Mary Wallace is a Neonatal, Critical Care in Evergreen, Colorado. Judith Mary Wallace practices all healthcare services and medical treatments related to Neonatal, Critical Care. The NPI Number for Judith Mary Wallace is 1922210343. The last update date is 2007-07-08.
Judith Mary Wallace's current location address is 31371 Loges Ln, Evergreen, Colorado. You can contact this provider via phone number 3036747603. The mailing address for Judith Mary Wallace is 31371 Loges Ln, Evergreen, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Mary Wallace |
|---|---|
| Address | 31371 Loges Ln, Evergreen, Colorado |
| Phone Number | 3036747603 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RXN,NP |
NPI Number Detail
| NPI Number | 1922210343 |
|---|---|
| Provider Enumeration Date | 2007-05-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 31371 Loges Ln |
|---|---|
| City | Evergreen |
| State | Colorado (CO) |
| Post Code | 804399460 |
| Phone Number | 3036747603 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal, Critical Care |
|---|---|
| Taxonomy | 363Ln0005X |
| Licence No | 96216 |
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Definition: An advanced practice registered nurse expert in specialized critical care for high-risk, critically ill newborns. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Judith Mary Wallace by the Centers for Medicare & Medicaid Services?
The Judith Mary Wallace has been issued the NPI (National Provider Identifier) 1922210343, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Judith Mary Wallace is physically located?
The Judith Mary Wallace is situated at the following address: 31371 Loges Ln, Evergreen, CO 804399460.
What is Judith Mary Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Mary Wallace's area of specialization is Neonatal, Critical Care, and the corresponding taxonomy code that categorizes this field of practice is 363Ln0005X.
On what date was the 1922210343 assigned to Judith Mary Wallace?
The Judith Mary Wallace was issued its 1922210343 on 2007-05-06, 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 pertaining to Judith Mary Wallace last refreshed?
The information related to the Judith Mary Wallace, including its address, specialty, and other relevant details, was last updated on 2007-07-08.