Maggie M Wallace (NPI# 1366098642, PAC ID# 9133458664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366098642 |
| PAC ID by PECOS | 9133458664 |
| Professional Enrollment ID | I20190910000035 |
| Full Name | Maggie M Wallace |
| Organization Legal Name | CTUC01 |
| Address |
1171 E Main St Torrington CT 06790-3963 |
| Phone Number | 8608664321 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193966893 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 74 Newtown Rd, Danbury, CT 06810-6237 | 2038268434 | CTUC01 |
| 1171 E Main St, Torrington, CT 06790-3963 | 8608664321 | CTUC01 |
| Organization Legal Name | CTUC01 |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Pelletier | Nurse Practitioner | Ctuc01 | 179 Talcottville Rd, Vernon, CT 06066-4615 |
| Alisa L Da Costa-rodrigues | Nurse Practitioner | Ctuc01 | 135 E Main St, New Britain, CT 06051-1914 |
| Meghan K Lunnie | Physician Assistant | Ctuc01 | 1171 E Main St, Torrington, CT 06790-3963 |
| Frank A Delli Carpni | Internal Medicine | Ctuc01 | 74 Newtown Rd, Danbury, CT 06810-6237 |
| Ryan C Haug | Physician Assistant | Ctuc01 | 1030 Boulevard, West Hartford, CT 06119-1801 |
| Thomas M Kodz | Physician Assistant | Ctuc01 | 2 Main St, Danbury, CT 06810-8047 |
| Sagar Rana | Physician Assistant | Ctuc01 | 2 Main St, Danbury, CT 06810-8047 |
| Sabina Rebis | Family Medicine | Ctuc01 | 135 E Main St, New Britain, CT 06051-1914 |
| Matthew Burns | Physician Assistant | Ctuc01 | 135 E Main St, New Britain, CT 06051-1914 |
| Jared D Heath | Physician Assistant | Ctuc01 | 179 Talcottville Rd, Vernon, CT 06066-4615 |
| Street Address |
1171 E MAIN ST |
| City | TORRINGTON |
| State | CT |
| Zip | 06790-3963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan K Lunnie | Physician Assistant | Ctuc01 | 1171 E Main St, Torrington, CT 06790-3963 |
| David J Peregrim | Physician Assistant | Ctuc01 | 1171 E Main St, Torrington, CT 06790-3963 |
| Dennis J Brown | Physician Assistant | Ctuc01 | 1171 E Main St, Torrington, CT 06790-3963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Murphy | Clinical Social Worker | 58 Woodside Cir, Torrington, CT 06790-2238 | |
| Mark F Dworkin | Clinical Social Worker | 460 Evergreen Rd, Torrington, CT 06790-2247 | |
| Letha Dudley | Clinical Social Worker | 61 Trotters Way, Torrington, CT 06790-2364 | |
| Peter G Gasparo | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Elizabeth M Conrad | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Joan S Selvage | Certified Clinical Nurse Specialist (cns) | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Robert M Stubbs | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Jeffrey Nachbar | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| William Marcus Eckerd | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Kelly Anne Knight | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Find all physicians in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TORRINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maggie M Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.