MS. SYLVIA FAE WALLACE


Address: 1575 Santa Barbara Blvd, The Villages, FL 32159-6820
Phone: 3526741740

MS. SYLVIA FAE WALLACE (NPI# 1366652364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366652364
Entity Type Individual
Full Name MS. SYLVIA FAE WALLACE
Credential APRN, BC
Practice Address 1575 Santa Barbara Blvd
The Villages
FL 32159-6820
Mailing Address 1020 Lake Sumter Lndg
The Villages
FL 32162-2699
Practice Telephone 3526741740
Practice Fax Number 3526748940
Mailing Telephone 3526748820
Mailing Fax Number 3526748919
Enumeration Date 2007-05-22
Last Update Date 2018-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN1957902 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1575 SANTA BARBARA BLVD
City THE VILLAGES
State FL
Zip Code 32159-6820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756878 Frank James Melidona Family Medicine 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2005-08-09
1770131351 Jamie R Glover Registered Nurse 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2019-08-28
1124674379 Penelope Schley Hearing Instrument Specialist 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2019-08-14
1083183826 Sierra C Heptner Physician Assistant 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2018-11-23
1801386867 Olukemi Ayoola Dada Nurse Practitioner 1575 Santa Barbara Blvd, The Villages, FL 32159 2018-05-15
1437514536 Kristen M Curtis Dietitian, Registered 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2015-12-16
1508295700 Riddhi Patel Physician Assistant 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2013-11-07
1891048922 Brooke Ashley Leever Psychologist 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2012-10-26
1063709012 Kimberly W Giovannelli Family Medicine 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2011-06-28
1477611200 Renee Caroline Tapasak Psychologist 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 2006-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306451216 Lindsey Porubcan Physician Assistant 990 South Us Highway 441/27, Lady Lake, FL 32159 2020-09-09
1073134979 Michael Robert Frates Dietitian, Registered 900 Cr 466, Lady Lake, FL 32159 2020-05-01
1346800364 Barbara Conrad Social Worker 906 Orchid Street, Lady Lake, FL 32159 2019-06-20
1962977165 Curelogics Wound Care and Hyperbaric LLC Registered Nurse 809 County Road 466, Unit C-201, Lady Lake, FL 32159 2018-10-04
1346736907 Caroline Butler Physician Assistant 805 E. Cr 466, Lady Lake, FL 32159 2018-07-06
1033609607 Cyrus Immanuel Macalisang Doroy Physical Therapist 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 2018-05-18
1962999680 Sharma Institute of Pain Medicine Physical Medicine & Rehabilitation 1501 Us Hwy 441, Villages, FL 32159 2018-04-18
1538683198 Cathleen Laurel Civiello Psychologist 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 2017-07-26
1649709015 Adria Young Optometrist 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 2017-06-08
1891222527 Center for Hope and Healing, LLC Social Worker 804 Hwy 466, Lady Lake, FL 32159 2017-05-12
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619446739 Noureen Dhanani Nurse Practitioner 3201 Wedgewood Ln, The Villages, FL 32162-7116 2018-11-19
1669942926 Suzan Crosby Phillips Nurse Practitioner 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 2018-11-29
1992231021 Rani Marie Powierza Nurse Practitioner 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 2017-05-10
1609091438 Christina Marie Landeck Nurse Practitioner 631 Allenwood Loop, The Villages, FL 32162-1004 2007-04-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154896 Christa Marie Mcnamara Nurse Practitioner 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 2020-11-03
1093315285 Linh My Duong Nurse Practitioner 6184 49th Ave N, Kenneth City, FL 33709-3306 2020-10-28
1992304042 Dawn Marie Decker-bowe Nurse Practitioner 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 2020-10-20
1770181182 Lisa Maria Mercado Nurse Practitioner 8115 97th Ct, Vero Beach, FL 32967-2810 2020-10-16
1609474329 Elisa Swieboda Nurse Practitioner 100 W Myrtle St, Howey In The Hills, FL 34737-4316 2020-10-14
1275130551 Edgar Rafael Valdez Quinonez Nurse Practitioner 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 2020-10-08
1306453683 Madelyn Delgado Borges Nurse Practitioner 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 2020-09-30
1497362024 Kyliene Reyes Nurse Practitioner 4771 Sw 138th Loop, Ocala, FL 34473-2000 2020-09-28
1598371882 Curt David Miller Nurse Practitioner 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 2020-09-22
1093321754 Sangita Nair Nurse Practitioner 16302 Sw 23rd St, Miramar, FL 33027-4404 2020-09-18
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Competitor

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City THE VILLAGES
Zip Code 32159

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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