Individual
MS. ANNE ELIZABETH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
850 MILL ST STE 301, RENO, NV 89502-1484
(775) 982-4948
(775) 982-5240
Mailing address
850 MILL ST STE 301, RENO, NV 89502-1484
(775) 982-4948
(775) 982-5240
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN18759
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507632
—
NV
Enumeration date
07/18/2006
Last updated
12/03/2009
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