HEATHER ELIZABETH WALLACE


Address: 1879 Savage Rd, Charleston, SC 29407-4726
Phone: 8437639472

HEATHER ELIZABETH WALLACE (NPI# 1962993634) 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) 1962993634
Entity Type Individual
Full Name HEATHER ELIZABETH WALLACE
Credential NP
Practice Address 1879 Savage Rd
Charleston
SC 29407-4726
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8437639472
Practice Fax Number 8437637411
Mailing Telephone 8437891620
Mailing Fax Number 8437242440
Enumeration Date 2018-05-29
Last Update Date 2018-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21745 SC Physician Assistants & Advanced Practice Nursing Providers

Other Providers HEATHER WALLACE

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1053856427 Heather E Wallace Nurse Practitioner 535 Coliseum Dr, Macon, GA 31217-0104 2016-12-21
1275075400 Heather Marie Wallace Nurse Practitioner 1870 Amherst St Ste C, Winchester, VA 22601-2841 2016-11-04
1821342106 Heather A Wallace Physician Assistant 3259 Catlin Ave, Quantico, VA 22134-5109 2012-11-07
1316227051 Heather Freeman Wallace Pharmacist 715 W Trade St, Dallas, NC 28034-1544 2011-08-25
1295027274 Heather Wallace Registered Nurse 55 Cummings Way, Woonsocket, RI 02895-3247 2011-05-09
1437369865 Heather Wallace Counselor Chdd Columbia Rd, Box 357920 Room 205, Seattle, WA 98195-7920 2007-05-23
1336173574 Heather Morgan Wallace Urology 230 E Derenne Ave, Savannah, GA 31405-6736 2006-07-11

Office Location

Street Address 1879 SAVAGE RD
City CHARLESTON
State SC
Zip Code 29407-4726

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386688042 Joann Hiott Family Medicine 1879 Savage Rd, Charleston, SC 29407-4726 2006-06-15
1992302905 Roper Saint Francis Physicians Network Surgery 1879 Savage Rd, Charleston, SC 29407-4726 2020-10-02
1558971226 Roper Saint Francis Physicians Network Colon & Rectal Surgery 1879 Savage Rd, Charleston, SC 29407-4726 2020-08-06
1831619923 Anthony John Germinario Family Medicine 1879 Savage Rd, Charleston, SC 29407-4726 2017-06-21
1124257282 Jennifer Goddard Family Medicine 1879 Savage Rd, Charleston, SC 29407 2009-07-10
1881837185 Roper Saint Francis Physicians Network Internal Medicine 1879 Savage Rd, Charleston, SC 29407 2009-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1780225128 New Endeavors Counseling Social Worker 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 2019-10-07
1770063158 Katelyn Campbell Psychologist 1 Carriage Ln Ste 102, Charleston, SC 29407 2018-08-15
1164929956 Anisha Gulati Md LLC Psychiatry & Neurology 925 Wappoo Rd., Suite F, Charleston, SC 29407 2018-04-09
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1457874174 Meca Mentality LLC Chiropractor 1106 St Andrews Blvd Suite A, Charleston, SC 29407 2017-07-25
1639609373 Carolina Behavioral Specialists, LLC Behavioral Analyst 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 2017-06-15
1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
1376991257 Virginia Leigh Thomason Counselor 29 Leinbach Dr, Suite D2, Charleston, SC 29407 2016-06-01
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
Find all providers in zip 29407

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
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Competitor

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City CHARLESTON
Zip Code 29407

Improve Information

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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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