Deanna Lorraine Wallis, REGISTERED NURSE
NPI #1619901790 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1619901790
- Entity Type
- Individual
- Name
- Deanna Lorraine Wallis, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
- Address 2
- PACL SDS
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4604
- Phone
- (719) 526-7071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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