Ms. Melynda K Wallace, CRNA, APRN
Nurse Practitioner in Grantham, New Hampshire
1881672137- Practice location
- 151 Route 10 N Unit 2, Grantham, NH 03753-3621
- Phone
- 603-309-3902
- Fax
- 603-843-8176
- Last updated
- April 22, 2024
Melynda Kaye Wallace is a Nurse Practitioner based in Grantham, NH. Melynda Kaye Wallace practices in Grantham, NH and has the professional credentials of CRNA, APRN. The NPI Number for Melynda Kaye Wallace is 1881672137 and holds a License No. 040072-23-11 (NH). The current practice location address for Melynda Kaye Wallace is 151 Route 10 N Unit 2, Grantham, NH 03753-3621 and can be reached out via phone at 603-309-3902 and via fax at 603-843-8176.
Provider Profile Details
- NPI Number
- 1881672137
- Provider Name
- Melynda Kaye Wallace
- Credential
- CRNA, APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Route 10 N Unit 2, Grantham, NH 03753-3621
- Phone Number
- 603-309-3902
- Fax Number
- 603-843-8176
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 6, 2006
- Last Update Date
- April 22, 2024
- Certification Date
- April 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Route 10 N Unit 2
Grantham, NH 03753-3621 - City
- Grantham
- State
- New Hampshire
- Zip
- 03753-3621
- Phone Number
- 603-309-3902
- Fax Number
- 603-843-8176
Provider Business Mailing Address Details
- Address
- 151 Route 10 N Unit 2
Grantham, NH 03753-3621 - City
- Grantham
- State
- NH
- Zip
- 03753-3621
- Phone Number
- 603-309-3902
- Fax Number
- 603-843-8176
License Information
- License Number (1)
- 040072-23-11
- License State (1)
- NH
- Taxonomy (1)
- Nurse Practitioner · 363L00000X · Primary
- License Number (2)
- 040072-23
- License State (2)
- NH
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X
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 Ms. Melynda K Wallace, CRNA, APRN?
The NPI number of Ms. Melynda K Wallace, CRNA, APRN is 1881672137. It was assigned on January 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Melynda K Wallace, CRNA, APRN?
Ms. Melynda K Wallace, CRNA, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number 040072-23-11.
Where does Ms. Melynda K Wallace, CRNA, APRN practice?
The practice location is 151 Route 10 N Unit 2, Grantham, NH 03753-3621. The office can be reached at 603-309-3902 (phone) or 603-843-8176 (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 1881672137 directly on the NPPES registry website.