Wallace, Debbie A.

Wallace, Debbie A. is an sole proprietor health care provider with primary practice located at 2235 Venetian Court, Suite 1 , Naples FL 34109. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wallace, Debbie A. can be contacted via phone (239) 596-9337.

Contact Information

Primary practice address
2235 Venetian Court, Suite 1 Naples FL 34109
Phone: (239) 596-9337
Fax: (239) 596-9466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102648 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA02505 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102648 Florida

Profile Details

NPI number 1881634327
LBN Legal business name Wallace, Debbie A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Mar 5th, 2014 - about 12 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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