Wallace, Annmarie

Wallace, Annmarie is an individual health care provider with primary practice located at 7700 Floyd Curl Dr , San Antonio TX 78229-3902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wallace, Annmarie can be contacted via phone (210) 575-4076.

Contact Information

Primary practice address
7700 Floyd Curl Dr San Antonio TX 78229-3902
Phone: (210) 575-4076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN-258973 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 733121 Texas

Profile Details

NPI number 1902855612
LBN Legal business name Wallace, Annmarie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 7th, 2013 - about 13 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 1902855612 NPPES
Ohio Other 100153 EMPLOYER KAISER GROUP #
Ohio Other 120766 EMPLOYER KAISER GROUP #
Ohio Other 34-0891295 EMPLOYER KAISER GROUP #
Ohio MEDICAID 7091249 EMPLOYER KAISER GROUP #
Ohio Other 000000220486 EMPLOYER KAISER GROUP #
Ohio Other 89594U EMPLOYER KAISER GROUP #
Ohio Other 730559 EMPLOYER KAISER GROUP #
Ohio MEDICAID 182095303 EMPLOYER KAISER GROUP #
Ohio MEDICAID 2274926 EMPLOYER KAISER GROUP #
Ohio Other 2080224 EMPLOYER KAISER GROUP #

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