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Contact Information

ALISHA R WALLACE, RN
210 BLACK HUT RD
HARRISVILLE, RI02830-1240
 Phone: 339-237-2784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for ALISHA R WALLACE · (Female)

NPI # 1154156586
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/05/2024
Last updated 09/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # RN2314105
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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