Marissa Leanne Wallace, NP

NPI #1689932360 in New Windsor, New York

Provider Information

NPI Number
1689932360
Entity Type
Individual
Name
Marissa Leanne Wallace, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Credential
NP
Enumeration Date
May 1, 2012
Last Updated
Jul 21, 2022

Practice Location

Address
3078 ROUTE 9W STE 100
ZIP Code
12553-6751
Phone
(845) 561-3310

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - Adult HealthAdult Health

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