Individual
MAUREEN A WALLACE-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 636-1619
Mailing address
1380 KINGSWAY, WESTLAKE, OH 44145-2611
(440) 525-6500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN178999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234659
UNISON
OH
01
—
000000558051
ANTHEM
OH
05
—
2806422
—
OH
01
—
9985125
AETNA
OH
Enumeration date
03/28/2008
Last updated
02/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us