Patricia G Wallace in Evansville - Psychiatric/mental Health

Patricia G Wallace - NPI 1356368849

Patricia G Wallace is a Psychiatric/mental Health in Evansville, Indiana. Patricia G Wallace practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Patricia G Wallace is 1356368849. The last update date is 2022-07-21.

Patricia G Wallace's current location address is 4847 E Virginia St Ste D, Evansville, Indiana. You can contact this provider via phone number 8124791242 and fax number 8124791330. The mailing address for Patricia G Wallace is 4847 E Virginia St Ste D, Evansville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia G Wallace
Address 4847 E Virginia St Ste D, Evansville, Indiana
Phone Number 8124791242
Fax Number 8124791330
Sole Proprietor N
Credentials CNS

NPI Number Detail

NPI Number 1356368849
Provider Enumeration Date 2006-07-17
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 4847 E Virginia St Ste D
City Evansville
State Indiana (IN)
Post Code 477152611
Phone Number 8124791242
Fax Number 8124791330

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 364Sp0808X
Licence No 70000099B
Definition:
An advanced practice registered nurse expert in psychiatric and mental health nursing care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
492046 IN ANTHEM

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FAQs about Patricia G Wallace

What is the unique 10-digit identification code issued to Patricia G Wallace by the Centers for Medicare & Medicaid Services?

The Patricia G Wallace has been assigned the NPI (National Provider Identifier) 1356368849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Patricia G Wallace's facilities are situated?

The facilities of Patricia G Wallace are physically located at the following address: 4847 E Virginia St Ste D, Evansville, IN, 477152611.

What is Patricia G Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Patricia G Wallace is Psychiatric/mental Health, and the taxonomy code that classifies this field of practice is 364Sp0808X.

On what date did Patricia G Wallace receive its 1356368849 assignment from the Centers for Medicare & Medicaid Services?

The Patricia G Wallace was assigned its 1356368849 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Patricia G Wallace's information last updated?

The Patricia G Wallace's information was last updated on 2022-07-21.

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