NPI Profile for EVELYN ADDO WALLACE in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Women's Health |
363LW0102X | 50 | Nurse Practitioner | |
Women's Health Care, Ambulatory |
163WW0101X |
| NPI Number | 1184965493 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/12/2013 | |
| Last updated | 10/01/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EVELYN ADDO WALLACE
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