Active NPIIndividual providerSole proprietor

Alisha R Wallace, RN

Registered Nurse, Home Health in Harrisville, Rhode Island

NPI Number1154156586
Practice location
210 Black Hut RD, Harrisville, RI 02830-1240
Fax
—
Last updated
September 5, 2024

Alisha Rose Wallace is a Registered Nurse, Home Health based in Harrisville, RI. Alisha Rose Wallace practices in Harrisville, RI and has the professional credentials of RN. The NPI Number for Alisha Rose Wallace is 1154156586 and holds a License No. RN2314105 (MA). The current practice location address for Alisha Rose Wallace is 210 Black Hut RD, Harrisville, RI 02830-1240 and can be reached out via phone at 339-237-2784.

Provider Profile Details

NPI Number
1154156586
Provider Name
Alisha Rose Wallace
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
210 Black Hut RD, Harrisville, RI 02830-1240
Phone Number
339-237-2784
Primary Taxonomy
Registered Nurse, Home Health · 163WH0200X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2024
Last Update Date
September 5, 2024
Certification Date
September 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Black Hut RD
Harrisville, RI 02830-1240
Zip
02830-1240
Phone Number
339-237-2784
Harrisville, RI 02830Get directions →

Provider Business Mailing Address Details

Address
210 Black Hut RD
Harrisville, RI 02830-1240
City
Harrisville
State
RI
Zip
02830-1240
Phone Number
339-237-2784

License Information

License Number
RN2314105
License State
MA
Taxonomy
Registered Nurse, Home Health · 163WH0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alisha R Wallace, RN?

The NPI number of Alisha R Wallace, RN is 1154156586. It was assigned on September 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Alisha R Wallace, RN?

Alisha R Wallace, RN is registered under the primary taxonomy Registered Nurse, Home Health (code 163WH0200X), licensed in MA under license number RN2314105.

Where does Alisha R Wallace, RN practice?

The practice location is 210 Black Hut RD, Harrisville, RI 02830-1240. The office can be reached at 339-237-2784 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154156586 directly on the NPPES registry website.

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