DEBORAH WALLACE (NPI# 1215387832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215387832 |
| Entity Type | Individual |
| Full Name | DEBORAH WALLACE |
| Credential | FNP-C |
| Practice Address |
4 Ryan Rd Marlboro NJ 07746-2445 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 9175799730 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00646700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548665037 | Deborah Wallace | Contractor | 1115 13th St Se, Canton, OH 44707-3425 | 2014-10-27 |
| 1821333113 | Deborah Elaine Wallace | Physical Therapy Assistant | 5147 Spring St, Sylvania, OH 43560-2832 | 2012-11-28 |
| 1124195359 | Deborah S Wallace | Dentist | 445 Highway 79, Dover, TN 37058-6941 | 2006-11-30 |
| 1194251173 | Deborah Wallace | Counselor | 801 Empire St, Fairfield, CA 94533 | 2017-05-11 |
| 1235526633 | Deborah Wallace | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-04-23 |
| 1083859730 | Deborah Elaine Wallace | Nurse Practitioner | 3601 Tvc, Nashville, TN 37232-0001 | 2008-12-10 |
| 1295950244 | Deborah A. Wallace | Occupational Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2007-04-16 |
| 1184654709 | Deborah I Wallace | Pediatrics | 3840 Ruckriegel Pkwy, Suite 105, Louisville, KY 40299-6835 | 2006-07-03 |
| 1184667388 | Deborah A Wallace | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2006-06-14 |
| Street Address |
4 RYAN RD |
| City | MARLBORO |
| State | NJ |
| Zip Code | 07746-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075571 | Ada Manfredi | Nurse Practitioner | 4 Ryan Rd, Minute Clinic, LLC, Marlboro, NJ 07746-2445 | 2006-03-02 |
| 1508374273 | Christine Dimino | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2018-01-16 |
| 1477957991 | Marissa Colthirst | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2014-10-13 |
| 1790102259 | Stanislav L Kopylov | Pharmacist | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2014-03-23 |
| 1225477904 | Jessica A Timmerman | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2013-06-17 |
| 1649514522 | Kathleen Walsh | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2012-11-16 |
| 1982876793 | Maria Montanez | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2008-04-01 |
| 1841478187 | Ilyasah Byfield | Nurse Practitioner | 4 Ryan Rd, Minute Clinic, Marlboro, NJ 07746-2445 | 2008-02-08 |
| 1801988522 | New Jersey Cvs Pharmacy LLC | Pharmacy | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709989 | Adam Dombrowski | Acupuncturist | 420 State Highway 34, Colts Neck, NJ 07746 | 2018-11-23 |
| 1699266916 | New Hope Integrated Behavioral Health Care, Inc | Substance Abuse Rehabilitation Facility | 80 Conover Road, Marlboro, NJ 07746 | 2018-05-22 |
| 1811413453 | Shreeji Pharmacy LLC | Pharmacy | 479 County Highway 520, A-102, Marlboro, NJ 07746 | 2017-08-15 |
| 1225445737 | Jaclyn M Guliano | Family Medicine | 479 Newman Springs Rd Ste 101a, Marlboro, NJ 07746 | 2014-07-16 |
| 1093129363 | Edward Kuwera | Student in an Organized Health Care Education/Training Program | 32 Woodpecker Way, Marlboro, NJ 07746 | 2014-06-16 |
| 1013255165 | Carole Cotter | Social Worker | 16 Alberta Dr., Marlboro, NJ 07746 | 2013-01-24 |
| 1417278805 | Sabine T Paul-yee | Family Medicine | 479 Route 520 Newman Springs Rd, Suite 101a, Marlboro, NJ 07746 | 2010-06-19 |
| 1487896320 | Catherine A. Blandford | Psychologist | 22 Holly Hill Road, Marlboro, NJ 07746 | 2009-03-24 |
| 1588820708 | Seema Nandkishor Varma | Internal Medicine | 32 N Marlboro Street, Marlboro, NJ 07746 | 2008-08-07 |
| 1750583449 | G On Optics Inc. | Technician/Technologist | 875 Route 17 South, Ramsey, NJ 07746 | 2007-06-04 |
| Find all providers in zip 07746 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788696 | Heather Joy Black | Nurse Practitioner | 479 County Road 520 Ste 101b, Marlboro, NJ 07746-1085 | 2019-09-09 |
| 1295032308 | Lisa Ann Abatangelo | Nurse Practitioner | 8 Liberty Rd, Marlboro, NJ 07746-2211 | 2011-02-25 |
| 1790841575 | Margaret Thurin Mcclure | Nurse Practitioner | 50 Cross Rd, Marlboro, NY 12542-6009 | 2006-12-28 |
| 1922075571 | Ada Manfredi | Nurse Practitioner | 4 Ryan Rd, Minute Clinic, LLC, Marlboro, NJ 07746-2445 | 2006-03-02 |
| 1508374273 | Christine Dimino | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2018-01-16 |
| 1659896660 | Melissa Murano | Nurse Practitioner | 32 N Main St, Marlboro, NJ 07746-1429 | 2017-08-10 |
| 1407306145 | Anisha Pittman | Nurse Practitioner | 32 N Main St, Marlboro, NJ 07746-1429 | 2016-10-05 |
| 1477957991 | Marissa Colthirst | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2014-10-13 |
| 1609294263 | Nanette Bonano Carpenter | Nurse Practitioner | 2582 South Rd, Marlboro, VT 05344-9801 | 2014-04-01 |
| 1225477904 | Jessica A Timmerman | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2013-06-17 |
| Find all providers in MARLBORO | ||||
Please comment or provide details below to improve the information on DEBORAH WALLACE.
| 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.