NPI 1073559399 MAUREEN WALLACE PA-C TUCSON AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Maureen Wallace - NPI: 1073559399

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MAUREEN WALLACE
NPI Number: 1073559399
Entity Type Code: Individual (1)
Gender: F
Credentials: PA-C
License Number: 3191
Business Practice Address: 1521 E Tangerine Rd
Ste 157 Oro Valley, AZ - 857556225
Business Phone Number: 5202292095
Business Fax Number: 5202298501
Mailing Address: 1760 E River Rd, 350
TUCSON
State: AZ
Postal Code: 857185999
Phone Number: 5205197775
Fax Number: 5205197910
NPI Enumeration Date: 06/22/2006
NPI Last Update Date: 09/10/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 3191
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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