Search › New York › 163W00000X
Tabitha Wallace, RN
NPI 1659094746 · on the registry since 2022 · sole proprietor
Practice
- Address
- 55d Ehrbar Ave Apt Gm
Mount Vernon, NY 10552 - Phone
- (917) 501-8884
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-22
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 York