Wallace, Brenda Janice

Wallace, Brenda Janice is an sole proprietor health care provider with primary practice located at 3107 Eastwick Dr , Cleveland Heights OH 44118-1222. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Gerontology. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wallace, Brenda Janice can be contacted via phone (216) 371-5253.

Contact Information

Primary practice address
3107 Eastwick Dr Cleveland Heights OH 44118-1222
Phone: (216) 371-5253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN225158 Ohio
Nursing Service Providers / Gerontology 163WG0600X Ohio

Profile Details

NPI number 1275703647
LBN Legal business name Wallace, Brenda Janice
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Mar 3rd, 2008 - about 18 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.

Request for update

Popular Providers