Search › New Hampshire › 101YM0800X
Autumn Wallace, MA
NPI 1437924917 · on the registry since 2023
Practice
- Address
- 2299 Woodbury Ave Ste 1
Newington, NH 03801 - Phone
- (603) 244-3187
- Organisation at this address
- Kla Diabetes Care Pllc
Points North Recovery Llc
Tina Labarre Nutrition Llc
Dr. Kate Vaillancourt, Pllc
Infinite Connection Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 1145 Sagamore Ave, Portsmouth, NH
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
- Licence states on file
- NH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire