Wallen, Lee Ann

Wallen, Lee Ann is an sole proprietor health care provider with primary practice located at 103 Haviland Rd , Poughkeepsie NY 12601-6616. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wallen, Lee Ann can be contacted via phone (845) 229-6581.

Contact Information

Primary practice address
103 Haviland Rd Poughkeepsie NY 12601-6616
Phone: (845) 229-6581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 447791-1 New York

Profile Details

NPI number 1407055304
LBN Legal business name Wallen, Lee Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 19 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 1407055304 NPPES
New York MEDICAID 02635490

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