MRS. DIONNE LANETTE WALLACE (NPI# 1386163830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386163830 |
| Entity Type | Individual |
| Full Name | MRS. DIONNE LANETTE WALLACE |
| Credential | MSN RN CNL |
| Practice Address |
15730 Mok Ave Eastpointe MI 48021-2367 |
| Practice Telephone | (586) 241-7088 |
| Practice Fax Number | 5855859555 |
| Mailing Telephone | 5862417088 |
| Mailing Fax Number | 5855859555 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704260135 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417456989 | Dionne H Wallace | Nurse Practitioner | 1016 N Fourche Ave, Perryville, AR 72126-8545 | 2018-02-09 |
| 1487948568 | Dionne Wallace | Social Worker | 3925 N Martin L King Blvd Ste 212, North Las Vegas, NV 89032-7676 | 2011-06-06 |
| Street Address |
15730 MOK AVE |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205347812 | D Wallace Health Promotion and Wellness | Nursing Care | 15730 Mok Ave, Eastpointe, MI 48021-2367 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382905 | Kevin Poole Jr. | Registered Nurse | 3044 Shabay Dr Bldg 1, Flushing, MI 48433-2459 | 2020-07-01 |
| 1023665981 | Kara Renee Mcintyre | Registered Nurse | 22725 S Keyes St, Taylor, MI 48180-4100 | 2019-08-23 |
| 1003379314 | Jaina Sabu Samuel | Registered Nurse | 49409 W Central Park, Shelby Twp, MI 48317-6355 | 2019-04-12 |
| 1336490846 | Venus Yvonne Graham | Registered Nurse | 16950 Martin Rd, Roseville, MI 48066-4331 | 2012-09-24 |
| 1346425030 | Mary Louise Molis | Registered Nurse | 7700 92nd St Se, Caledonia, MI 49316-9593 | 2008-01-01 |
| 1972715787 | Marcy Lee Soutar | Registered Nurse | 1449 S Washington Ave, Royal Oak, MI 48067-3225 | 2007-05-04 |
| 1457460222 | Uaye Juliet Abai | Registered Nurse | 6773 Stonebrige Court, West Bloomfield, MI 48322 | 2006-08-29 |
| 1184635617 | Patricia E Dombrowski | Registered Nurse | 26402 W 11 Mile Rd, Southfield, MI 48034-2248 | 2006-08-10 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
Please comment or provide details below to improve the information on MRS. DIONNE LANETTE WALLACE.
| 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.