Active NPIIndividual providerSole proprietor

Laurel E Wallace, RN

Registered Nurse, Psych/Mental Health in Northampton, Massachusetts

NPI Number1396200101
Practice location
50 Pleasant St, Northampton, MA 01060-4127
Fax
—
Last updated
November 26, 2019

Laurel E Wallace is a Registered Nurse, Psych/Mental Health based in Northampton, MA. Laurel E Wallace practices in Northampton, MA and has the professional credentials of RN. The NPI Number for Laurel E Wallace is 1396200101 and holds a License No. RN121600 (MA). The current practice location address for Laurel E Wallace is 50 Pleasant St, Northampton, MA 01060-4127 and can be reached out via phone at 413-584-6855.

Provider Profile Details

NPI Number
1396200101
Provider Name
Laurel E Wallace
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
50 Pleasant St, Northampton, MA 01060-4127
Phone Number
413-584-6855
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2019
Last Update Date
November 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Pleasant St
Northampton, MA 01060-4127
Zip
01060-4127
Phone Number
413-584-6855
Northampton, MA 01060Get directions →

Provider Business Mailing Address Details

Address
15 Laura Drive
Westfield, MA 01085
City
Westfield
State
MA
Zip
01085
Phone Number
413-562-2747

License Information

License Number
RN121600
License State
MA
Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X · 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 Laurel E Wallace, RN?

The NPI number of Laurel E Wallace, RN is 1396200101. It was assigned on February 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Laurel E Wallace, RN?

Laurel E Wallace, RN is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in MA under license number RN121600.

Where does Laurel E Wallace, RN practice?

The practice location is 50 Pleasant St, Northampton, MA 01060-4127. The office can be reached at 413-584-6855 (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 1396200101 directly on the NPPES registry website.

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