DONNA C WALLACE (NPI# 1346236122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346236122 |
| Entity Type | Individual |
| Full Name | DONNA C WALLACE |
| Credential | PNP |
| Practice Address |
2910 N 3rd Ave Phoenix AZ 85013-4434 |
| Practice Telephone | 6024063632 |
| Practice Fax Number | 6024066126 |
| Mailing Telephone | 6024063632 |
| Mailing Fax Number | 6024066126 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN041572 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164938130 | Donna C. Wallace | Pharmacist | 1817 Nw 127th Ave, Pembroke Pines, FL 33028-2567 | 2017-12-28 |
| 1710199328 | Donna Wallace | Social Worker | 2110 Sw 97 Lane, Davie, FL 33324 | 2007-05-04 |
| 1639558471 | Donna Wallace | Counselor | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2015-05-26 |
| 1932475977 | Donna Lee Wallace | Specialist | 5600 Cypresswood Dr, Spring, TX 77379-8260 | 2012-03-23 |
| 1154577047 | Donna M Wallace | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2008-08-12 |
| 1003016320 | Donna K Wallace | Counselor | 1901 S 24th Ave, Edinburg, TX 78539-6533 | 2007-07-24 |
| 1386792349 | Donna M. Wallace | Pathology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1124192703 | Donna F Wallace | Physical Therapist | 3445 Post Road, J Arthur Trudeau Memorial Center Attn Kim Ruelle Hr, Warwick, RI 02886-7147 | 2006-11-17 |
| 1952321200 | Donna D Wallace | Nurse Practitioner | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| Street Address |
2910 N 3RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202484 | Neurosurgical Associates, Ltd | Physical Medicine & Rehabilitation | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2005-08-22 |
| 1013365956 | Beth N Conway | Registered Nurse | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2016-06-01 |
| 1417323718 | Tauree Rose Blankenship | Physical Therapist | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2015-08-20 |
| 1538574991 | Ifije Ohiorhenuan | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2014-06-24 |
| 1467718916 | Eileen C. Warbington | Nurse Practitioner | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2012-04-10 |
| 1881985323 | Robert Thomas Wicks | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2011-05-02 |
| 1669763918 | Michael Joseph Lang | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2011-04-20 |
| 1750602645 | Zaman Zacharya Mirzadeh | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2010-06-15 |
| 1154558021 | Jay Turner | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2009-06-17 |
| 1326272618 | Alim P Mitha | Neurological Surgery | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
| 1215455605 | Shampa Nasreen | Nurse Practitioner | 2711 E Roosevelt St, Phoenix, AZ 85008-4946 | 2017-09-06 |
| 1306275581 | Melissa Kay Reichenbach | Nurse Practitioner | 444 W. Osborn Rd, Ste 301, Phoenix, AZ 85013-3896 | 2013-11-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1922356518 | April A Colon | Nurse Practitioner | 1919 E Thomas Road, Phoenix, AZ 85016-7710 | 2012-08-29 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1376853077 | Tara Leigh Pierce | Nurse Practitioner | 1661 E Camelback Rd Ste 170, Phoenix, AZ 85016-3921 | 2010-10-15 |
| 1144385634 | Deborah Biringer Anderson | Nurse Practitioner | 26224 N Tatum Blvd Ste 1, Phoenix, AZ 85050-7500 | 2006-12-26 |
| 1952408411 | Genny Marie Stiller | Nurse Practitioner | 1919 E. Thomas Road, Department of Hem/onc, Phoenix, AZ 85016 | 2006-09-19 |
| 1437256153 | Pamela K. Grant | Nurse Practitioner | 15420 N. 32nd Drive, Phoenix, AZ 85053-3998 | 2006-09-17 |
| Find all providers in PHOENIX | ||||
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| 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.