ELIZABETH JEAN WALLS


Address: Building B-86, Omega Dr, Newark, DE 19713-6004
Phone: 3023667665

ELIZABETH JEAN WALLS (NPI# 1659600039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659600039
Entity Type Individual
Full Name ELIZABETH JEAN WALLS
Other Name ELIZABETH JEAN WILSON
Credential ANP-BC
Practice Address Building B-86
Omega Dr
Newark
DE 19713-6004
Mailing Address 252 Chapman Rd
Suite 150
Newark
DE 19702-5438
Practice Telephone 3023667665
Practice Fax Number 3023660734
Mailing Telephone 3026231929
Mailing Fax Number 3023661075
Enumeration Date 2009-12-15
Last Update Date 2016-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
LB0000230 DE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DE DE PROFESSIONAL LICENSE LB0000230 01
DE 1659600039 05

Other Providers ELIZABETH WALLS

NPI Name Taxonomy Address Enumeration
1053790741 Elizabeth Walls Community Health Worker 508 Forrest Blvd, Tullahoma, TN 37388-4000 2015-05-27
1225466725 Elizabeth Walls Physical Therapist 812 Rochel Dr, Shreveport, LA 71115-3870 2013-10-18
1225636178 Elizabeth Walls Nurse's Aide 1307 Williamstown Pike, Williamstown, WV 26187-8168 2020-10-13
1003883737 Elizabeth Walls Nurse Anesthetist, Certified Registered 11085 Little Patuxent Pkwy, Suite 004, Columbia, MD 21044-2983 2006-03-01

Office Location

Street Address BUILDING B-86
OMEGA DR
City NEWARK
State DE
Zip Code 19713-6004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386749901 Leigh Anne N Sibert Clinical Nurse Specialist Building B-86, Omega Professional Center, Newark, DE 19713-6004 2006-09-14
1578703914 Christina L Dimarco Nurse Practitioner Building B-86, Omega Professional Center, Newark, DE 19713-6004 2009-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
Find all providers in zip 19713

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235746553 Ellen Smith Nurse Practitioner 340 Airis Dr., Suite 203, Newark, NJ 07114 2020-09-30
1568029411 Ashley Nicole Warren Nurse Practitioner Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 2019-05-28
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1851884456 Dionne Hutson Hendy Nurse Practitioner 52-54 Richelieu Ter, Newark, NJ 07106-1648 2018-06-08
1922472620 Laura Kretz Mayover Nurse Practitioner 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 2015-11-18
1710312848 Saino Mathew Nurse Practitioner 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 2013-09-09
1871886549 Debora Gildin Nurse Practitioner Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 2011-05-27
1730486754 Patricia Marie Wolf Nurse Practitioner 1818 Preston Pl, Newark, OH 43055-9328 2011-02-28
1518192640 Michaelene M Baker Urban Nurse Practitioner Building B 86, Omega Drive, Newark, DE 19713-6004 2009-05-19
1316187594 Sofrado Laggui Samonte Jr. Nurse Practitioner 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 2009-02-27
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 19713

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Dataset Information

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.

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