Active NPIIndividual provider

Yesenia Wallace

Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut

NPI Number1811458433
Practice location
402 E Main St, Waterbury, CT 06702-1701
Fax
203-574-9006
Last updated
March 27, 2019

Yesenia Wallace is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Yesenia Wallace practices in Waterbury, CT. The NPI Number for Yesenia Wallace is 1811458433. The current practice location address for Yesenia Wallace is 402 E Main St, Waterbury, CT 06702-1701 and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.

Provider Profile Details

NPI Number
1811458433
Provider Name
Yesenia Wallace
Provider Entity Type
Individual
Gender
Female
Address
402 E Main St, Waterbury, CT 06702-1701
Phone Number
203-574-9000
Fax Number
203-574-9006
Sole Proprietor
No
Provider Enumeration Date
March 27, 2019
Last Update Date
March 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
402 E Main St
Waterbury, CT 06702-1701
Zip
06702-1701
Phone Number
203-574-9000
Fax Number
203-574-9006
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

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 Yesenia Wallace?

The NPI number of Yesenia Wallace is 1811458433. It was assigned on March 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Yesenia Wallace?

Yesenia Wallace is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Yesenia Wallace practice?

The practice location is 402 E Main St, Waterbury, CT 06702-1701. The office can be reached at 203-574-9000 (phone) or 203-574-9006 (fax).

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 1811458433 directly on the NPPES registry website.

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