DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EVELYN ADDO-WALLACE NP

MEDICARE: EVELYN ADDO-WALLACE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerF421131-1NY
2163WW0101XAmbulatory Women's Health Care Registered Nurse659682-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184965493
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN ADDO-WALLACE NP
Provider Business Mailing Address
First Line : 1112 REGAL OAK DR
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-1048
Country : US
Telephone Number : 917-297-1980
Fax Number : 336-900-1320
Provider Business Practice Location Address
First Line : 165 BROADWAY FL 23
Second Line :
City : NEW YORK
State : NY
Zip : 10006-1452
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2013
Last Update Date : 10/01/2024

Similar Medicare Providers

1386259018 — DR. VANIA LORVANIS DNP, FNP, APN-C
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 888-731-8994
Practice Fax:
1255362794 — HEATHER J COOK-SMITH DNP
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 888-731-8994
Practice Fax:
1871934224 — JENNIFER E STRONG N.P.
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 888-731-8994
Practice Fax:
1568898872 — MRS. IRINA FABRE N.P.
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 215-746-3535
Practice Fax:
1871992867 — ERICA R HERMILLER CNP
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 419-796-9627
Practice Fax:
1033506936 — CASSANDRA STARK
Practice Location Address:
165 BROADWAY FL 23
NEW YORK, NY
10006-1452
Practice Phone: 888-731-8994
Practice Fax:

Directions to “ EVELYN ADDO-WALLACE NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.