Tabitha Wallace, RN
Registered Nurse in Mount Vernon, New York
1659094746- Practice location
- 55D Ehrbar Ave Apt Gm, Mount Vernon, NY 10552-2443
- Phone
- 917-501-8884
- Fax
- —
- Last updated
- September 22, 2022
Tabitha Wallace is a Registered Nurse based in Mount Vernon, NY. Tabitha Wallace practices in Mount Vernon, NY and has the professional credentials of RN. The NPI Number for Tabitha Wallace is 1659094746 and holds a License No. 819637 (NY). The current practice location address for Tabitha Wallace is 55D Ehrbar Ave Apt Gm, Mount Vernon, NY 10552-2443 and can be reached out via phone at 917-501-8884.
Provider Profile Details
- NPI Number
- 1659094746
- Provider Name
- Tabitha Wallace
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55D Ehrbar Ave Apt Gm, Mount Vernon, NY 10552-2443
- Phone Number
- 917-501-8884
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Other Names
- Tabitha Wallace, RN (Professional Name)
- Provider Enumeration Date
- September 22, 2022
- Last Update Date
- September 22, 2022
- Certification Date
- September 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55D Ehrbar Ave Apt Gm
Mount Vernon, NY 10552-2443 - City
- Mount Vernon
- State
- New York
- Zip
- 10552-2443
- Phone Number
- 917-501-8884
Provider Business Mailing Address Details
- Address
- 55D Ehrbar Ave Apt Gm
Mount Vernon, NY 10552-2443 - City
- Mount Vernon
- State
- NY
- Zip
- 10552-2443
License Information
- License Number
- 819637
- License State
- NY
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tabitha Wallace, RN?
The NPI number of Tabitha Wallace, RN is 1659094746. It was assigned on September 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Tabitha Wallace, RN?
Tabitha Wallace, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 819637.
Where does Tabitha Wallace, RN practice?
The practice location is 55D Ehrbar Ave Apt Gm, Mount Vernon, NY 10552-2443. The office can be reached at 917-501-8884 (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 1659094746 directly on the NPPES registry website.