Search › Rhode Island › 363LX0001X

Joan Wallace, NP

NPI 1972696938 · on the registry since 2006

Practice

Address
297 Promenade St
Providence, RI 02908
Phone
(401) 490-6464
Clinicians at this address
10

Registry record

Primary taxonomy
363LX0001X
363LX0001X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-11

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 Rhode Island