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Contact Information

DANHUA K WALLACE, ARNP
101 N. MAIN STREET
COUPEVILLE, WA98239
 Phone: 360-678-7656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DANHUA K WALLACE · (Female)

NPI Number 1134320401
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/31/2007
Last updated 12/09/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IA License # H138175
  • WA License # AP30006550
  • IA Medicaid 1134320401
  • IA Other P01375308 RR MEDICARE
Hospital affiliation(s)
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    1717 SOUTH J STREET
    TACOMA, WA 98405
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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