Individual
LISA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5336
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821591
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006507
CA
Other
Enumeration date
12/30/2014
Last updated
11/12/2021
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