Addo-Wallace, Evelyn

Addo-Wallace, Evelyn is an individual health care provider with primary practice located at 165 Broadway Fl 23 , New York NY 10006-1452. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Women's Health Care, Ambulatory. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Addo-Wallace, Evelyn can be contacted via phone (888) 731-8994.

Contact Information

Primary practice address
165 Broadway Fl 23 New York NY 10006-1452
Phone: (888) 731-8994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F421131-1 New York
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 659682-1 New York

Profile Details

NPI number 1184965493
LBN Legal business name Addo-Wallace, Evelyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Oct 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184965493 NPPES
New York MEDICAID 00695941

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