Individual provider · Type 1 NPI

Maxana Wilby-Wallace, ANP

Adult Health Nurse Practitioner · New York, NY

NPI number 1174718654 Active

Practice location

1901 1st Ave, Employees Health Service/metropolitan Hospital Center
New York, NY 10029-7404

Call (212) 423-6384 Map

Fax (212) 423-8602

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF303569 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1174718654

Maxana Wilby-Wallace, ANP's National Provider Identifier is 1174718654, issued on Sep 7, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Sep 7, 2007.