Wallace, Brittany Asta
Wallace, Brittany Asta is an individual health care provider with primary practice located at 510 North Street , Pittsfield MA 01201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Brittany Asta can be contacted via phone (413) 447-2351.Contact Information
Primary practice address
510 North Street
Pittsfield MA 01201
Phone: (413) 447-2351
Fax: (413) 445-7009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN2258013 | Massachusetts |
Profile Details
| NPI number | 1215363239 |
|---|---|
| LBN Legal business name | Wallace, Brittany Asta |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215363239 | NPPES |
| Massachusetts | MEDICAID | 110120598A |
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