MICHELLE MARIE WALLACE I


Address: 17887 State Route 58, Wellington, OH 44090-9464
Phone: 4408643984

MICHELLE MARIE WALLACE I (NPI# 1598884272) 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) 1598884272
Entity Type Individual
Full Name MICHELLE MARIE WALLACE I
Credential R.N.
Practice Address 17887 State Route 58
Wellington
OH 44090-9464
Practice Telephone 4408643984
Practice Fax Number 4407742184
Mailing Telephone 4408643984
Mailing Fax Number 4407742184
Enumeration Date 2007-03-27
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
295117 OH Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 2259041 05

Other Providers MICHELLE WALLACE

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1497091805 Michelle Lynn Wallace Specialist 508 Blair Blvd, Eugene, OR 97402-4630 2012-12-13
1477808947 Michelle Wallace Physical Medicine & Rehabilitation 75 Norman Pl, Tenafly, NJ 07670-2537 2012-07-19
1336796374 Michelle Wallace Counselor 369 Ne Revere Ave Ste 101, Bend, OR 97701-4082 2019-08-23
1316471790 Michelle Dianne Wallace Nurse Practitioner 8970 S Meridian St, Indianapolis, IN 46217-5031 2017-04-12
1972044519 Michelle D Wallace Durable Medical Equipment & Medical Supplies 9701 Apollo Dr Ste 100, Largo, MD 20774-4785 2017-03-15
1275938185 Michelle Mayer Wallace Pharmacist 2413 Highway 431 North, Anniston, AL 36206 2014-11-04
1912249822 Michelle M Wallace Physical Therapist 2300 Trenton Rd, Levittown, PA 19056-1423 2013-03-19
1609136266 Michelle Wallace Social Worker 245 E 19th St, Apt. 12f, New York, NY 10003-2639 2012-05-16

Office Location

Street Address 17887 STATE ROUTE 58
City WELLINGTON
State OH
Zip Code 44090-9464

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174052567 Kelly Lynne Keith Registered Nurse 121 W Herrick Ave, Wellington, OH 44090 2017-06-08
1104214964 Res-care Ohio, Inc. Intermediate Care Facility, Mentally Retarded 101 Weber Court, Wellington, OH 44090 2015-01-02
1780818963 Mercy Health-allen Hospital LLC Clinic/Center 840 Patriot Dr, Wellington, OH 44090 2009-05-04
1790943538 Wellington Estates Inc Intermediate Care Facility, Mentally Retarded 103-110 Weber Ct, Wellington, OH 44090 2008-05-29
1144488099 Wellington Estates Inc Intermediate Care Facility, Mentally Retarded 101 Weber Ct, Wellington, OH 44090 2008-05-28
1942407937 Stephanie L Conrad Physical Therapist 110 Herrick Ave. West, Suite B, Wellington, OH 44090 2007-07-02
1033210935 Laura Jean Pall Devengencie Dentist 406 West Herrick Avenue, Wellington, OH 44090 2006-09-26
1518565100 Merle Perry Simmons Homemaker 345 Prospect St, Wellington, OH 44090 2020-10-15
1518993864 Discount Drug Mart Inc Pharmacy 814 N Main St, Wellington, OH 44090-1000 2006-06-25
1336465418 Lori Renee Waite Licensed Practical Nurse 214 Jones St, Wellington, OH 44090-1025 2010-04-14
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871127373 Deon Treseata Clarke Registered Nurse 2216 Balsan Way, Wellington, FL 33414-6434 2020-02-24
1093378622 Maylin Paez Registered Nurse 12247 Brisbane Ln, Wellington, FL 33414-5533 2019-04-18
1386973238 Stephanie Larae Saunders Registered Nurse 45300 Cemetery Rd, Wellington, OH 44090-9515 2009-12-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326649310 Tashana Sterling Williamson Registered Nurse 501 Nye St, Lima, OH 45801-4641 2020-11-05
1205435492 Ashleigh Andrews Registered Nurse 11989 Rich Rd, Loveland, OH 45140-1809 2020-10-20
1487251971 Margaret A Pentek Registered Nurse 1375 County Road 128, Ironton, OH 45638-8526 2020-10-07
1881291615 Gifty E Appini Registered Nurse 3988 Karl Rd, Columbus, OH 43224-2161 2020-10-05
1851998843 Marwah Home Care LLC Registered Nurse 3720 Kersdale Pl, Grove City, OH 43123-8611 2020-10-03
1720695299 Lizetter Anu Registered Nurse 5733 Millbank Rd Apt B, Columbus, OH 43229-4143 2020-09-28
1366059404 Breezy Yinger Registered Nurse 17450 Morris Rose Rd, Jackson Center, OH 45334-9447 2020-09-23
1013520931 Nurse Education Solutions LLC Registered Nurse 1446 Reynolds Rd Ste 100, Maumee, OH 43537-1634 2020-08-29
1245841238 Stephanie Stokes Registered Nurse 417 W Carpenter Dr, New Carlisle, OH 45344-2533 2020-08-12
1285245480 Nancy Harris Registered Nurse 10563 Liberty St, Garrettsville, OH 44231-9495 2020-08-11
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Competitor

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City WELLINGTON
Zip Code 44090

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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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