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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | DE PROFESSIONAL LICENSE | LB0000230 | 01 |
DE | 1659600039 | 05 |
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 |
Street Address |
BUILDING B-86 OMEGA DR |
City | NEWARK |
State | DE |
Zip Code | 19713-6004 |
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 |
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 Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on ELIZABETH JEAN WALLS.
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.