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Patricia G Wallace, CNS
Clinical Nurse Specialist in Evansville, Indiana
NPI 1356368849

Patricia G Wallace is a Clinical Nurse Specialist based in Evansville, IN. Patricia G Wallace practices in Evansville, IN and has the professional credentials of CNS. The NPI Number for Patricia G Wallace is 1356368849 and holds a License No. 70000099B (Indiana).

The current practice location address for Patricia G Wallace is 4847 E Virginia St Ste D, Evansville, IN and can be reached out via phone at 812-479-1242 and via fax at 812-479-1330.

Location: 4847 E Virginia St Ste D, Evansville, IN, 47715-2611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356368849
Provider Name
Patricia G Wallace
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
4847 E Virginia St Ste D, Evansville, IN, 47715-2611
Phone Number
812-479-1242
Fax Number
812-479-1330
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000492046 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
4847 E Virginia St Ste D
City
Evansville
State
Indiana
Zip
47715-2611
Phone Number
812-479-1242
Fax Number
812-479-1330
person
Provider Business Mailing Address Details
Address
4847 E Virginia St Ste D
City
Evansville
State
Indiana
Zip
47715-2611
Phone Number
812-479-1242
Fax Number
812-479-1330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
70000099A (Indiana)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
364SP0808X
License No.
70000099B (Indiana)
Definition
Definition to come...
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