location
search-icon
person
Miss Evelyn Wallace, REGISTEREDNURSE
Nursing Home Administrator in Orange, California
NPI 1063085116

Evelyn Wallace is a Nursing Home Administrator based in Orange, CA. Evelyn Wallace practices in Orange, CA and has the professional credentials of REGISTEREDNURSE. The NPI Number for Evelyn Wallace is 1063085116 and holds a License No. 300613124 (California).

The current practice location address for Evelyn Wallace is 2204 E Deborah Ln, Orange, CA and can be reached out via phone at 714-336-3712.

Location: 2204 E Deborah Ln, Orange, CA, 92867-6253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063085116
Provider Name
Evelyn Wallace
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
2204 E Deborah Ln, Orange, CA, 92867-6253
Phone Number
714-336-3712
Fax Number
Provider Enumeration Date
07/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2204 E Deborah Ln
City
Orange
State
California
Zip
92869-4620
Phone Number
714-336-3712
Fax Number
person
Provider Business Mailing Address Details
Address
2204 E Deborah Ln
City
Orange
State
California
Zip
92869-4620
Phone Number
714-336-3712
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
300613124 (California)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.